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Deactivated NPI 1528016946 Deactivated / Inactive NPI Female Practitioner

Myra Josephberg , LCSW

Social Worker • Orange City, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Myra Josephberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 05, 2006
NPI Deactivation Date November 04, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Myra Josephberg, LCSW was a registered Social Worker practicing in Orange City, FL. Throughout an active medical career spanning 13 years, Myra Josephberg provided care at the practice location at 2415 SOUTH VOLUSIA AVE until profile deactivation on 2019-11-04.

Practice Location & Contact Primary Location

Practice Address

2415 South Volusia Ave
Ste A4

Orange City, FL 32763

Telephone 3867757726
Fax 3867757727

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Orange City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Orange City, FL (5606 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 5111082DUP

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 04, 2019

Record deactivated on November 04, 2019

NPI Profile Active August 17, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2012

Registered at 2415 SOUTH VOLUSIA AVE, STE A4, ORANGE CITY, FL 32763 (Tel: 3867757726)

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Updated Business Mailing Address August 17, 2012

Registered at 1118 WEST EMBASSY DR, DELTONA, FL 32725 (Tel: 3867757726)

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Provider Name / Credentials Updated August 17, 2012

Recorded as MYRA JOSEPHBERG, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2012

Social Worker (License #5111082DUP in NY)

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Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528016946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: August 17, 2012
Deactivation Date: November 04, 2019

Mailing Address

1118 West Embassy Dr

Deltona, FL 32725

Phone: 3867757726

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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