Active NPI
Judith Bellomo, LCSW
- Social Worker
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW14127
- Practice address
- 6418 Breckenridge Circle
Lake Worth, FL 33467 - Phone
- (516) 633-3412
- Fax
- (561) 766-2189
- NPI assigned
- Aug 24, 2010
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW14127 | FL | Primary |
| Community/Behavioral Health Agency | 251S00000X | 2071410-1 | NY |
Addresses
Primary practice location
6418 Breckenridge Circle
Lake Worth, FL 33467
Mailing address
6418 Breckenridge Circle
Lake Worth, FL 33467
Phone (516) 633-3412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00393339 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1601 Clint Moore Rd
Suite 120
Boca Raton, FL 33487-5712
Phone (561) 270-2280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2071410-1 | NY | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Different Like Me Inc | Current | Accepting new patients | |
| Cotler Healthcare & Development Inc. | Community/Behavioral Health | Current | Accepting new patients |
| Mtca Psychological Services P.a. | Current | Accepting new patients | |
| Cotler Children and Family Services, LLC | Current | Accepting new patients |
Locations
1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280
7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
8461 Lake Worth Rd
Ste 250
Lake Worth, FL 33467
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1093915043
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1861858581
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
Community/Behavioral Health
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1740552322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194031567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6418 BRECKENRIDGE CIRCLE",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33467",
"telephone_number": "516-633-3412",
"fax_number": "561-766-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6418 BRECKENRIDGE CIRCLE",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33467",
"telephone_number": "516-633-3412",
"fax_number": "561-766-2189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOMO",
"first_name": "JUDITH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW14127",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "2071410-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00393339",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.