Individual provider Active NPI

Susan R Riskin, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1003970708
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8843 Issued in FL
Practice address
21300 Coleman Blvd
Boca Raton, FL 33428-2175
Phone
(561) 852-3333
Fax
(561) 852-3332
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 066272 NY
Clinical Social Worker 1041C0700X SW8843 FL Primary

Addresses

Primary practice location

21300 Coleman Blvd
Boca Raton, FL 33428-2175

Mailing address

7006 Huntington Lane
#207
Delray Beach, FL 33446-2504
Phone (561) 865-5415

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
I20080319000301 FL Practitioner - Clinical Social Worker 9436235231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ruth and Norman Rales Jewish Family Services IncGroup PAC ID 4183526221, 12 clinicians

Practice addresses (Care Compare)

7091 W Atlantic Blvd
Delray Beach, FL 33446-1601
Phone (561) 852-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8843FLMDClinical Social Worker
066272NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Toby and Leon Cooperman Therapy and Family Resource Center CurrentSince Feb 20, 2011 Accepting new patients
Ruth & Norman Rales Jewish Family Services Inc Clinical CurrentSince Feb 20, 2011 Accepting new patients
Tampa Jewish Family Services Inc Past Accepting new patients

Locations

21300 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428
Phone (561) 852-3333

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

Organizations & group practices 3

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1003970708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 HUNTINGTON LANE",
            "address_2": "#207",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462504",
            "telephone_number": "561-865-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 COLEMAN BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282175",
            "telephone_number": "561-852-3333",
            "fax_number": "561-852-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKIN",
        "first_name": "SUSAN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "066272",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.