Individual provider Active NPI

Jody A Kaufman, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1013935287
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6177 Issued in FL
Practice address
9033 Glades Rd
Suite B
Boca Raton, FL 33434-3939
Phone
(561) 361-0500
Fax
(561) 479-0384
NPI assigned
Jul 17, 2006
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 SW6177 FL Primary

Addresses

Primary practice location

9033 Glades Rd
Suite B
Boca Raton, FL 33434-3939

Mailing address

12581 Yardley Dr
Boca Raton, FL 33428-4862
Phone (561) 218-6226

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
I20110526000022 FL Practitioner - Clinical Social Worker 2062698145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7100 Camino Real
Boca Raton, FL 33433-5510
Phone (561) 756-5168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J a Kaufman LLC Clinical CurrentSince Jul 23, 2024 Accepting new patients

Locations

7100 Camino Real
Ste 302
Boca Raton, FL 33433
Phone (561) 300-4024

Organizations & group practices 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013935287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12581 YARDLEY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284862",
            "telephone_number": "561-218-6226",
            "fax_number": "561-218-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 GLADES RD",
            "address_2": "SUITE B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343939",
            "telephone_number": "561-361-0500",
            "fax_number": "561-479-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "JODY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.