MEDICARE: RAY L POSSEN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	ISW18815	FL
2	1041C0700X	Clinical Social Worker	SW25153	FL

General Provider Information

NPI Number	:	1144086455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAY L POSSEN LCSW

Provider Business Mailing Address
First Line	:	1303 COPLEY CT
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-9032
Country	:	US
Telephone Number	:	561-800-3024
Fax Number	:

Provider Business Practice Location Address
First Line	:	1850 FOREST HILL BLVD STE 203
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6060
Country	:	US
Telephone Number	:	561-800-3024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2024
Last Update Date	:	08/01/2025

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