Individual provider Active NPI

Austin Kerker, LCSW

  • Clinical Social Worker
  • North Miami Beach, FL
National Provider Identifier
1184073967
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13441 Issued in FL
Practice address
16499 NE 19TH Ave Ste 106
North Miami Beach, FL 33162-4107
Phone
(732) 684-6795
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 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 SW13441 FL Primary

Addresses

Primary practice location

16499 NE 19TH Ave Ste 106
North Miami Beach, FL 33162-4107

Mailing address

16499 NE 19TH Ave Ste 106
North Miami Beach, FL 33162-4107
Phone (732) 684-6795

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
SW13441FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Care Treatment Services LLC CurrentSince Feb 24, 2022 Accepting new patients

Locations

16499 NE 19th Ave
Ste 106
North Miami Beach, FL 33162
Phone (305) 337-6237

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1184073967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16499 NE 19TH AVE STE 106",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624107",
            "telephone_number": "732-684-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16499 NE 19TH AVE STE 106",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624107",
            "telephone_number": "732-684-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERKER",
        "first_name": "AUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.