ELIZABETH BLACKBURN
NPI 1356813364
Social Worker - Clinical in West Palm Beach, FL

Q: What is Elizabeth Blackburn's NPI number?

The NPI number for Elizabeth Blackburn is 1356813364. It was assigned to this individual provider in the NPPES registry on January 2, 2019.

Q: What is Elizabeth Blackburn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since January 02, 2019PECOS EnrolledAccepts Medicare Assignment

4089 LAKE TAHOE CIR, WEST PALM BEACH, FL 33409(407) 619-5075 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Jan 2, 2019 (2 updates tracked since 2019).

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About Elizabeth Blackburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH BLACKBURN (NPI 1356813364) is an individual clinical provider in West Palm Beach, Florida, licensed in Florida (SW15819) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356813364

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELIZABETH BLACKBURN

Location Address4089 LAKE TAHOE CIRWest Palm Beach, FL 33409-7878

Mailing Address4089 Lake Tahoe CirWest Palm Beach, FL 33409-7878 · (407) 619-5075

Phone(407) 619-5075

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 2, 2019

Last NPPES UpdateJune 4, 20262 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1356813364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in FL · SW15819✔ Licensed in FL · 15819

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4089 LAKE TAHOE CIR, West Palm Beach, FL 33409

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Blackburn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133573637

PECOS Enrollment IDI20231003001382

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Elizabeth Blackburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Community Health Centers Inc

1.8 mi

Pediatrics

4450 S TIFFANY DR
West Palm Beach, FL 33407

Reassigned Medicare billing, Florida enrollment
50 clinicians in this Medicare group

NPI 1043260490 (561) 844-9443

Breakthrough Therapeutics

4.2 mi

Mental Health (Including Community Mental Health Center)

7750 OKEECHOBEE BLVD STE 4-1032
West Palm Beach, FL 33411

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1275292096 (561) 247-5550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.56 – $179.05

Typical copayment $0.00 (range $14.64 – $44.76)

Most-billed visit code NA

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Blackburn's NPI number?

The NPI number for Elizabeth Blackburn is 1356813364. It was assigned to this individual provider in the NPPES registry on January 2, 2019.

Where is Elizabeth Blackburn located?

Elizabeth Blackburn practices at 4089 Lake Tahoe Cir, West Palm Beach, FL 33409. The listed phone number is (407) 619-5075.

What is Elizabeth Blackburn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elizabeth Blackburn enrolled in Medicare?

Yes. Elizabeth Blackburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elizabeth Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Blackburn reassigns Medicare benefits to 2 organizations: Florida Community Health Centers Inc (West Palm Beach, FL) and Breakthrough Therapeutics (West Palm Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Blackburn accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Elizabeth Blackburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Blackburn was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.