Individual provider Active NPI

Patricia Smith

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1992041297
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3029 Issued in FL
Practice address
3851 N Ocean Blvd Apt 114
Delray Beach, FL 33483-7454
Phone
(786) 897-1614
NPI assigned
Dec 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3029 FL Primary

Addresses

Primary practice location

3851 N Ocean Blvd Apt 114
Delray Beach, FL 33483-7454

Mailing address

3851 N Ocean Blvd Apt 114
Delray Beach, FL 33483-7454
Phone (786) 897-1614

Other practice location 1

4905 Lantana Rd
Lake Worth, FL 33463-6915
Phone (561) 214-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1992041297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 N OCEAN BLVD APT 114",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334837454",
            "telephone_number": "786-897-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 N OCEAN BLVD APT 114",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334837454",
            "telephone_number": "786-897-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4905 Lantana Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334636915",
            "country_code": "US",
            "telephone_number": "561-214-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.