Individual provider Active NPI

Henry W Kronner, PH.D.

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1194825844
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15604 Issued in FL
Practice address
2881 E Oakland Park Blvd Ste 118
Fort Lauderdale, FL 33306-1813
Phone
(773) 456-1957
Fax
(630) 855-5890
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-008343 IL
Clinical Social Worker 1041C0700X SW15604 FL Primary

Addresses

Primary practice location

2881 E Oakland Park Blvd Ste 118
Fort Lauderdale, FL 33306-1813

Mailing address

2881 E Oakland Park Blvd Ste 118
Fort Lauderdale, FL 33306-1813
Phone (773) 456-1957

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
I20230328000490 FL Practitioner - Clinical Social Worker 8123342250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2881 E Oakland Park Blvd
Suite 118
Fort Lauderdale, FL 33306-1813
Phone (773) 456-1957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW15604FLMDClinical Social Worker
149-008343ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Connections Inc. Clinical CurrentSince Nov 2, 2022 Accepting new patients

Locations

2881 E Oakland Park Blvd
Ste 118
Fort Lauderdale, FL 33306
Phone (773) 456-1957

1300 W Belmont Ave
Ste 207
Chicago, IL 60657
Phone (773) 456-1957

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1194825844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 E OAKLAND PARK BLVD STE 118",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061813",
            "telephone_number": "773-456-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 E OAKLAND PARK BLVD STE 118",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061813",
            "telephone_number": "773-456-1957",
            "fax_number": "630-855-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONNER",
        "first_name": "HENRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-008343",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.