Individual provider Active NPI

Elizabeth Cullinane

  • Clinical Social Worker
  • Davie, FL
National Provider Identifier
1073047007
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 14196 Issued in FL
Practice address
3102 SW 147TH Ave
Davie, FL 33330-1053
Phone
(954) 370-9543
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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 14196 FL Primary

Addresses

Primary practice location

3102 SW 147TH Ave
Davie, FL 33330-1053

Mailing address

3102 SW 147TH Ave
Davie, FL 33330-1053
Phone (954) 370-9543

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
I20171020003066 FL Practitioner - Clinical Social Worker 0244506194 Reassigns benefits to 4 organizations
Practice locations: Davie, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 14196FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A & B Counseling Services LLC CurrentSince Aug 4, 2020 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Harris & Darmanian PLLC CurrentSince Jan 14, 2022 Accepting new patients
Different Like Me Inc Clinical CurrentSince Oct 20, 2020 Accepting new patients
A & B Counseling LLC Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

1875 N Corporate Lakes Blvd
Ste 300
Weston, FL 33326
Phone (954) 217-2444

Organizations & group practices 5

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1073047007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 SW 147TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301053",
            "telephone_number": "954-370-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 SW 147TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301053",
            "telephone_number": "954-370-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINANE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 14196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.