Individual provider Active NPI

Betsy Marie Bernbaum, LCSW

  • Clinical Social Worker
  • Parkland, FL
National Provider Identifier
1083472559
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22742 Issued in FL
Practice address
6559 NW 128TH Way
Parkland, FL 33076-1991
Phone
(954) 822-5111
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 SW22742 FL Primary

Addresses

Primary practice location

6559 NW 128TH Way
Parkland, FL 33076-1991

Mailing address

6559 NW 128TH Way
Parkland, FL 33076-1991
Phone (954) 822-5111

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
I20240430001876 FL Practitioner - Clinical Social Worker 0840630448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Florida PLLCGroup PAC ID 6204166762, 31 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

2811 Campus Hill Dr
Tampa, FL 33612-9213
Phone (813) 972-9700

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

7900 Venture Ctr Way
Boynton Beach, FL 33437-7402
Phone (561) 736-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22742FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC Clinical CurrentSince Aug 1, 2025 Accepting new patients
Mindy Staum, LCSW, P.a Clinical CurrentSince Jul 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 19, 2024 Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

5421 N University Dr
Ste 102
Coral Springs, FL 33067
Phone (732) 580-8383

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1083472559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 NW 128TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330761991",
            "telephone_number": "954-822-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 NW 128TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330761991",
            "telephone_number": "954-822-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNBAUM",
        "first_name": "BETSY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

Verify at the official NPI Registry.