MR. ESTAFAN N.S. FARAG (LCSW) – Clinical Social Worker, NPI 1740320050

MR. ESTAFAN N.S. FARAG (LCSW) is a healthcare provider. based in Fort myers, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW5839 (FL). The NPI Number for MR. ESTAFAN N.S. FARAG (LCSW) is 1740320050

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. ESTAFAN N.S. FARAG (LCSW)
NPI
1740320050
Phone
(239) 332-8009
Address
2180 W 1ST ST
Enumeration Date
7 February 2007
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417132231
Graduation Year
1996 (30 years ago)
PAC ID
6406924430
Group Practice PAC ID
7214847995
Professional Enrollment ID
I20081003000684
Address ID
FL342198410PA12271NXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MR. ESTAFAN N.S. FARAG (LCSW)

  • 2180 W 1ST ST

    SUITE 202

    FORT MYERS, FL 339013222

    Phone: (239) 332-8009

    Fax: (239) 332-8009

    Type: Mailing

  • 725 N 12th Ave Bldg B

    Arcadia, FL 342668752

    Phone: (863) 494-1242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081003000684IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214847995View full group profile
NameSpecialtyState
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
-FL
Nurse PractitionerFL
-TN
Clinical Social WorkerWV
Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

What identifier follows MR. ESTAFAN N.S. FARAG (LCSW) across health systems?
The NPI 1740320050 uniquely identifies MR. ESTAFAN N.S. FARAG (LCSW) in U.S. healthcare data.
Does the public listing show MR. ESTAFAN N.S. FARAG (LCSW) as active?
MR. ESTAFAN N.S. FARAG (LCSW)'s NPI record reflects an active status in NPPES.
What services align with MR. ESTAFAN N.S. FARAG (LCSW)'s listing?
MR. ESTAFAN N.S. FARAG (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. ESTAFAN N.S. FARAG (LCSW)?
MR. ESTAFAN N.S. FARAG (LCSW) shows a connection to Fort Myers, Florida in registry-derived data.
Why is information missing for MR. ESTAFAN N.S. FARAG (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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