David Ettinger, LMSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LMSW 13384 Issued in AZ

Practice address

2627Ne203Rd St 214
Aventura, FL 33180-1946

Phone

(973) 224-0693

NPI assigned

Oct 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fort Lauderdale DBT

  • Mental Health Counselor
  • Miami, FL
  • NPI 1982059861
  NPD (past) Authorized official

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1225313695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627NE203RD ST 214",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801946",
            "telephone_number": "973-224-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627NE203RD ST 214",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801946",
            "telephone_number": "973-224-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "DAVID",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LMSW 13384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH2833",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Minds PA
• Esteban Escolar MD PA
• Francisca Vivian Estrada, APRN
• Howard M Estrin, MD
• Spencer Eth, M.D.
• Eugenio M Bricio MD PA
• Jasmin Evangelista, FNP - BC
• Karina Evangelista, M.S., LMHC
• Hanna Evans, APRN
• Evolve Counseling Center LLC

• Professional Counselor in Aventura, FL
• Providers in Aventura, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.

Verify at the official NPI Registry.