Individual provider Active NPI

Jiahui Guo, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1184214900
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17610 Issued in FL
Practice address
7200 Camino Real Ste 201
Boca Raton, FL 33433-5511
Phone
(561) 674-0885
Fax
(561) 674-0856
NPI assigned
Jan 25, 2021
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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 SW17610 FL Primary

Addresses

Primary practice location

7200 Camino Real Ste 201
Boca Raton, FL 33433-5511

Mailing address

1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222

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
I20220429001908 FL Practitioner - Clinical Social Worker 5496142911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ventre Medical Associates LLCGroup PAC ID 5496931586, 72 clinicians

Practice addresses (Care Compare)

7200 Camino Real
Suite 201
Boca Raton, FL 33433-5511
Phone (561) 674-0885

Merit-based Incentive Payment System (MIPS)

Final score
52.48 of 100Reported as group
Quality
9.18
Improvement activities
40
Cost
76.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW17610FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates LLC Clinical CurrentSince Apr 27, 2022 Accepting new patients
Ventre Medical Associates LLC Clinical CurrentSince Apr 27, 2022 Accepting new patients

Locations

7200 Camino Real
Ste 201
Boca Raton, FL 33433
Phone (561) 674-0885

7261 Sheridan St
Ste 340
Hollywood, FL 33024

1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1184214900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E OAKLAND PARK BLVD STE 210",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344400",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CAMINO REAL STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335511",
            "telephone_number": "561-674-0885",
            "fax_number": "561-674-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "JIAHUI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.