Individual provider Active NPI

Claudia Ewald

  • Clinical Social Worker
  • Pompano Beach, FL
National Provider Identifier
1184099228
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9584 Issued in FL
Practice address
4699 N Federal Hwy # 102F
Pompano Beach, FL 33064-6510
Phone
(954) 210-6070
Fax
(888) 900-2325
NPI assigned
Dec 1, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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 SW9584 FL Primary

Addresses

Primary practice location

4699 N Federal Hwy # 102F
Pompano Beach, FL 33064-6510

Mailing address

585 NW 116TH St
Miami, FL 33168-3416
Phone (954) 210-6070

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
Kristimae, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1184099228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 NW 116TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331683416",
            "telephone_number": "954-210-6070",
            "fax_number": "888-900-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 N FEDERAL HWY # 102F",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646510",
            "telephone_number": "954-210-6070",
            "fax_number": "888-900-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWALD",
        "first_name": "CLAUDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.