Individual provider Active NPI

Diana Chaitovitz, L.C.S.W.

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1003963224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3043 Issued in FL
Practice address
1101 W Hibiscus Blvd
Suite 201
Melbourne, FL 32901-2718
Phone
(321) 727-3833
Fax
(321) 722-6051
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3043 FL Primary

Addresses

Primary practice location

1101 W Hibiscus Blvd
Suite 201
Melbourne, FL 32901-2718

Mailing address

1101 W Hibiscus Blvd
Suite 201
Melbourne, FL 32901-2718
Phone (321) 727-3833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000334 FL Practitioner - Clinical Social Worker 2163505959 Practice locations: Cocoa, FL; Melbourne, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 W Hibicus Blvd
Suite 104
Melbourne, FL 32901-2700
Phone (321) 952-8084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burnham Woods Champa & Associates Clinical Past Accepting new patients
James a.Miller Jr.,MD,PA Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003963224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W HIBISCUS BLVD",
            "address_2": "SUITE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012718",
            "telephone_number": "321-727-3833",
            "fax_number": "321-722-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W HIBISCUS BLVD",
            "address_2": "SUITE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012718",
            "telephone_number": "321-727-3833",
            "fax_number": "321-722-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAITOVITZ",
        "first_name": "DIANA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.