Individual provider Active NPI

Alanna Teitelbaum

  • Clinical Social Worker
  • Weston, FL
National Provider Identifier
1104452580
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1112 Ginger Cir
Weston, FL 33326-3626
Phone
(954) 604-1955
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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 FL Primary

Addresses

Primary practice location

1112 Ginger Cir
Weston, FL 33326-3626

Mailing address

1112 Ginger Cir
Weston, FL 33326-3626
Phone (954) 604-1955

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
I20201202000240 FL Practitioner - Clinical Social Worker 6709297484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exceptional Services Group, LLCGroup PAC ID 1658403720, 13 clinicians

Practice addresses (Care Compare)

9250 Glades Rd
Suite 111
Boca Raton, FL 33434-3958
Phone (561) 852-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Services Group, LLC Clinical CurrentSince Nov 30, 2020 Accepting new patients

Locations

9250 Glades Rd
Ste 111
Boca Raton, FL 33434
Phone (561) 479-2880

9070 Kimberly Blvd
Ste 50
Boca Raton, FL 33434
Phone (561) 852-0910

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1104452580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 GINGER CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263626",
            "telephone_number": "954-604-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 GINGER CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263626",
            "telephone_number": "954-604-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITELBAUM",
        "first_name": "ALANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.