Organization Active NPI

Lisa Salcedo LCSW PA

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1972135572
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LISA SALCEDO LCSW PA
Practice address
8198 Jog Road
Ste 105
Boynton Beach, FL 33472-2900
Phone
(561) 801-7577
Fax
(866) 757-5778
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Salcedo, LCSWNPI 1356848840
Title
Owner/MBR
Phone
(561) 801-7577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8198 Jog Road
Ste 105
Boynton Beach, FL 33472-2900

Mailing address

6348 Ethan Drive
Lake Worth, FL 33467-8732
Phone (561) 801-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200403000518 FL Part B Supplier - Clinic/Group Practice 9638508179 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL; Lake Worth, FL

National Provider Directory

National Provider Directory

Locations

6971 N Federal Hwy
Ste 301
Boca Raton, FL 33487
Phone (561) 408-1098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1972135572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 ETHAN DRIVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678732",
            "telephone_number": "561-801-7577",
            "fax_number": "561-828-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 JOG ROAD",
            "address_2": "STE 105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722900",
            "telephone_number": "561-801-7577",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA SALCEDO LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/MBR",
        "authorized_official_telephone_number": "561-801-7577",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.