Individual provider Active NPI

Arlene G. Boumel, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1104915214
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2048 Issued in FL
Practice address
5551 N University Dr Ste 202
Coral Springs, FL 33067-4651
Phone
(954) 612-5902
Fax
(954) 796-1070
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 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 SW2048 FL Primary

Addresses

Primary practice location

5551 N University Dr Ste 202
Coral Springs, FL 33067-4651

Mailing address

1750 NW 88TH Way
Coral Springs, FL 33071-6173
Phone (954) 612-5902

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
I20060202000046 FL Practitioner - Clinical Social Worker 0648284331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5551 N University Dr
Suite 202
Coral Springs, FL 33067-4651
Phone (954) 612-5902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW2048FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arlene G Boumel LCSW LLC Clinical CurrentSince Oct 22, 2008 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Dr Stanley and Pearl Goodman JFS of Broward County Inc Clinical PastSince Jul 1, 1990 Accepting new patients

Locations

5551 N University Dr
Ste 202
Coral Springs, FL 33067
Phone (954) 592-0329

Interoperability endpoints

  • Direct secure messaging: arleneboumel@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1104915214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NW 88TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716173",
            "telephone_number": "954-612-5902",
            "fax_number": "954-341-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-612-5902",
            "fax_number": "954-796-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUMEL",
        "first_name": "ARLENE",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.