Susan Lynn Starr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

22601 Camino del Mar
Boca Raton, FL 33433-6516

Phone

(786) 414-6666

NPI assigned

Oct 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Susan Lynn Reigel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1972267409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 S OCEAN BLVD APT 601",
            "city": "HIGHLAND BEACH",
            "state": "FL",
            "postal_code": "334872574",
            "telephone_number": "954-465-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 CAMINO DEL MAR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336516",
            "telephone_number": "786-414-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "REIGEL",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Jordan Stark, M.D.
• Dawn Marci Starkman, M.S.,CCC-SLP
• Starr Medical Supplies, Inc.
• Cortlyn Andrew Hugh Starr, MPH, OTD
• Stephanie Mann Starr, LCSW
• Stat Medical Supplies Inc.
• Stat Triage LLC
• Jennifer T Statler, DMD
• Stefanie Stauber, MS, LMHC
• Clarice M Staves, MD

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.