Individual provider Active NPI

Jutta Hofmann Powell, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1104486505
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15415 Issued in FL
Practice address
4001 N Ocean Dr Ste 305
Fort Lauderdale, FL 33308-5968
Phone
(844) 468-1345
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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 SW15415 FL Primary

Addresses

Primary practice location

4001 N Ocean Dr Ste 305
Fort Lauderdale, FL 33308-5968

Mailing address

4001 N Ocean Dr Ste 305
Fort Lauderdale, FL 33308-5968
Phone (844) 468-1345

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL galtoceanrehabcenter.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW15415FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1104486505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR STE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "844-468-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR STE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "844-468-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN POWELL",
        "first_name": "JUTTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "galtoceanrehabcenter.com",
            "affiliation": "N",
            "address_1": "4001 N Ocean Dr Ste 305",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333085968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.