Individual provider Active NPI

Andrea Muchmore, MSW

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1124603527
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2500 Quantum Lakes Dr Ste 105
Boynton Beach, FL 33426-8308
Phone
(561) 770-1780
Fax
(833) 562-8893
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 Primary

Addresses

Primary practice location

2500 Quantum Lakes Dr Ste 105
Boynton Beach, FL 33426-8308

Mailing address

2500 Quantum Lakes Dr Ste 105
Boynton Beach, FL 33426-8308
Phone (561) 770-1780

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
Aldad Medical PC Clinical CurrentSince Mar 1, 2023 Accepting new patients
Aldad Medical PC CurrentSince Jun 1, 2024 Accepting new patients
Harm Reduction Center LLC Clinical CurrentSince Mar 21, 2021 Accepting new patients
Restorative Therapy for Wellness Clinical CurrentSince May 25, 2021 Accepting new patients
Aldad Medical PC CurrentSince Mar 1, 2023 Accepting new patients

Locations

2500 Quantum Lakes Dr
Ste 105
Boynton Beach, FL 33426
Phone (561) 602-4554

801 Brickell Ave
Fl 8
Miami, FL 33131
Phone (305) 871-4420

450 S Orange Ave
Fl 3
Orlando, FL 32801
Phone (407) 212-7113

1600 E 8th Ave
Ste A200
Tampa, FL 33605

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1124603527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268308",
            "telephone_number": "561-770-1780",
            "fax_number": "833-562-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268308",
            "telephone_number": "561-770-1780",
            "fax_number": "833-562-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHMORE",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.