Individual provider Active NPI

Cindy Jill North, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1104837798
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3970 Issued in FL
Practice address
1931 NW 150TH Ave
124
Pembroke Pines, FL 33028-2877
Phone
(954) 322-1005
Fax
(954) 322-1005
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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 SW3970 FL Primary

Addresses

Primary practice location

1931 NW 150TH Ave
124
Pembroke Pines, FL 33028-2877

Mailing address

1931 NW 150TH Ave
124
Pembroke Pines, FL 33028-2877
Phone (954) 322-1005

Other identifiers 9

IdentifierTypeStateIssuer
I5230039OtherFLAETNA
105193OtherFLVALUE OPTIONS
1104837798OtherFLUNITED HEALTHCARE
CINDYNORTHOtherFLUNIVERSITY OF MIAMI BEHAVIORAL HEALTH
CINDYNORTHOtherFLAVMED
CINDYNORTHOtherMANAGED CARE CONCEPTS
29418541OtherFLCIGNA
001524800OtherFLSTAYWELL/WELLCARE OF FLORIDA
CINDYNORTHOtherFLMAGELLAN BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Jill North LCSW., P.a. Clinical CurrentSince Oct 30, 2012 Accepting new patients

Locations

17900 NW 5th St
Ste 203A
Pembroke Pines, FL 33029
Phone (954) 322-1005

1931 NW 150th Ave
Ste 124
Pembroke Pines, FL 33028
Phone (954) 322-1005

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1104837798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE",
            "address_2": "124",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282877",
            "telephone_number": "954-322-1005",
            "fax_number": "954-322-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE",
            "address_2": "124",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282877",
            "telephone_number": "954-322-1005",
            "fax_number": "954-322-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "CINDY",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "I5230039",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "105193",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1104837798",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF MIAMI BEHAVIORAL HEALTH",
            "identifier": "CINDYNORTH",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "CINDYNORTH",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED CARE CONCEPTS",
            "identifier": "CINDYNORTH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "29418541",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL/WELLCARE OF FLORIDA",
            "identifier": "001524800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "CINDYNORTH",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.