Beaches Behavioral Health LLC
NPI 1770955254ActiveOrganization· Social Worker, Clinical· Jacksonville, FL
Social Worker, Clinical in Jacksonville, Florida, registered in NPPES in October 2015. The authorized official on file is Lisa J. Rotella, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770955254 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2015 |
| Last updated in NPPES | Sep 17, 2021 |
| Certified by provider | Sep 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW13084 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Social Worker, Clinical providers in Jacksonville
- 1194484923
- 1689318321
- 1457067894
- 1417625419
- 1700055696
- 1891147120
- 1609047018
- 1033133616
- 1316596976
- 1043618085
- 1326973314
- 1922863521