Individual provider Active NPI

Janelle Yvonne Perritte, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1083879043
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10224 Issued in FL
Practice address
2225 N University Dr
Pembroke Pines, FL 33024-3611
Phone
(954) 544-4991
Fax
(954) 544-4992
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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 10224 FL Primary

Addresses

Primary practice location

2225 N University Dr
Pembroke Pines, FL 33024-3611

Mailing address

4457 NW 113TH Way
Coral Springs, FL 33065-7211
Phone (727) 365-8026

Other names 1

  • Ms. Janelle Yvonne Ortiz Former name

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
I20150717001352 FL Practitioner - Clinical Social Worker 7214240365 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5571 N University Dr
Suite 101
Coral Springs, FL 33067-4653
Phone (754) 444-1509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10224FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Counseling and Wellness PastSince Mar 31, 2015 Accepting new patients

Networks

  • Freedom Health HMO Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1083879043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 NW 113TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657211",
            "telephone_number": "727-365-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-544-4991",
            "fax_number": "954-544-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRITTE",
        "first_name": "JANELLE",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "ORTIZ",
            "middle_name": "YVONNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.