Individual provider Active NPI

Minerva Viton, LCSW

  • Clinical Social Worker
  • Greenacres, FL
National Provider Identifier
1215958111
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5549 Issued in FL
Practice address
5700 Lake Worth Rd
Suite 205
Greenacres, FL 33463-4727
Phone
(561) 436-7158
Fax
(561) 736-0354
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW5549 FL
Clinical Social Worker 1041C0700X SW5549 FL Primary

Addresses

Primary practice location

5700 Lake Worth Rd
Suite 205
Greenacres, FL 33463-4727

Mailing address

141 Executive Cir
Boynton Beach, FL 33436-1835
Phone (561) 436-7158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, TX, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070109000274 FL Practitioner - Clinical Social Worker 4789684168 Reassigns benefits to 1 organization
I20230815001746 GA Practitioner - Clinical Social Worker 4789684168 Reassigns benefits to 1 organization
I20230815002306 TX Practitioner - Clinical Social Worker 4789684168 Reassigns benefits to 1 organization
I20231113000692 AZ Practitioner - Clinical Social Worker 4789684168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 1, 2023 Accepting new patients
MV Counseling Services Inc Clinical Past Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

Interoperability endpoints

  • Direct secure messaging: minervaviton@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1215958111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 EXECUTIVE CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361835",
            "telephone_number": "561-436-7158",
            "fax_number": "561-736-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "SUITE 205",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-436-7158",
            "fax_number": "561-736-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITON",
        "first_name": "MINERVA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW5549",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.