Individual provider Active NPI

Anette Jolene Badchkam, LCSW, MCAP

  • Clinical Social Worker
  • Royal Palm Beach, FL
National Provider Identifier
1023200516
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 7354 Issued in FL
Practice address
11440 Okeechobee Blvd Ste 205B
Royal Palm Beach, FL 33411-8726
Phone
(561) 310-5475
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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 SW 7354 FL Primary

Addresses

Primary practice location

11440 Okeechobee Blvd Ste 205B
Royal Palm Beach, FL 33411-8726

Mailing address

15275 Collier Blvd Ste 201-358
Naples, FL 34119-6750
Phone (561) 310-5475

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
I20081217000592 FL Practitioner - Clinical Social Worker 3577625003 Practice locations: Royal Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11440 Okeechobee Blvd
Suite 205B
Royal Palm Beach, FL 33411-8726
Phone (561) 310-5475

5072 Annunciation Circle
Suite 328
Ave Maria, FL 34142-9730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Start Counseling Services, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

11440 Okeechobee Blvd
Ste 205B
Royal Palm Beach, FL 33411
Phone (561) 310-5475

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": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1023200516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15275 COLLIER BLVD STE 201-358",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341196750",
            "telephone_number": "561-310-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 OKEECHOBEE BLVD STE 205B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118726",
            "telephone_number": "561-310-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADCHKAM",
        "first_name": "ANETTE",
        "middle_name": "JOLENE",
        "credential": "LCSW, MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2022-03-30",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.