MR. VINCENT CHARLES LICATA III LCSW
NPI 1891020368
Social Worker - Clinical in Fort Lauderdale, FL

Q: What is Vincent Licata's NPI number?

The NPI number for Vincent Licata is 1891020368. It was assigned to this individual provider in the NPPES registry on October 16, 2009.

Q: What is Vincent Licata's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vincent Licata was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since October 16, 2009PECOS EnrolledAccepts Medicare Assignment

330 SW 27TH AVE, FORT LAUDERDALE, FL 33312(954) 791-4300 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2021, Jun 7, 2021 (2 updates tracked since 2021).

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About Mr. Vincent Charles Licata Iii Lcsw NPPES

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

MR. VINCENT CHARLES LICATA III LCSW (NPI 1891020368) is an individual clinical provider in Fort Lauderdale, Florida, licensed in Florida (SW7633) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1891020368

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. VINCENT CHARLES LICATA IIICredential: LCSW

Location Address330 SW 27TH AVEFort Lauderdale, FL 33312-2051

Mailing Address4740 N State Road 7Lauderdale Lakes, FL 33319-5839 · (954) 486-4005

Phone(954) 791-4300

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateOctober 16, 2009

Last NPPES UpdateJune 15, 20212 updates tracked since enumeration

NPPES CertifiedJune 15, 2021

✔ NPI 1891020368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW7633

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License SW7633 (FL)

330 SW 27TH AVE, Fort Lauderdale, FL 33312

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Vincent Charles Licata Iii Lcsw 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 ID2264833532

PECOS Enrollment IDI20210623003262

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33312 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE A CROFUTT LCSW

Social Worker (Clinical)