Carly N Lupo, LCSW
Social Worker, Clinical in West Palm Beach, FL. Individual provider (NPI-1).
NPI number1699338152
StatusActive
Last updated in NPPESAug 11, 2020
Details
- NPI
- 1699338152
- Entity type
- Individual (NPI-1)
- Name
- Carly N Lupo
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2019
- Certification date
- Aug 11, 2020
- Last updated
- Aug 11, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW16239 | FL | Yes |
Practice location
700 S Rosemary AveSuite 204 Ofc 101
West Palm Beach, FL 33401
Phone 561-246-5063
Mailing address
700 S Rosemary Ave Ste 204West Palm Beach, FL 33401-6310
Phone 561-246-5063
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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