Individual provider Active NPI

Jeffrey Lebner, LCSW

  • Social Worker
  • Boca Raton, FL
National Provider Identifier
1972216919
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW12922 Issued in FL
Practice address
6372 La Costa Dr Apt 501
Boca Raton, FL 33433-6624
Phone
(561) 809-4452
NPI assigned
Jan 4, 2023
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW12922 FL Primary

Addresses

Primary practice location

6372 La Costa Dr Apt 501
Boca Raton, FL 33433-6624

Mailing address

6372 La Costa Dr Apt 501
Boca Raton, FL 33433-6624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208000134 FL Practitioner - Clinical Social Worker 6305218983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Psychiatric Services IncGroup PAC ID 2860879293, 20 clinicians

Practice addresses (Care Compare)

2900 N University Dr
Suite 15
Coral Springs, FL 33065-5083
Phone (561) 241-6628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW12922FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Psychiatric Services Inc CurrentSince Jan 25, 2023 Accepting new patients

Locations

1200 N Federal Hwy
Ste 300
Boca Raton, FL 33432
Phone (561) 241-6628

5301 N Federal Hwy
Ste 270
Boca Raton, FL 33487
Phone (561) 241-6628

2900 N University Dr
Ste 15
Coral Springs, FL 33065
Phone (561) 241-6628

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1972216919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 LA COSTA DR APT 501",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 LA COSTA DR APT 501",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336624",
            "telephone_number": "561-809-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBNER",
        "first_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.