Active NPI
Melissa Kanenbley, MSW
- Clinical Social Worker
- Deerfield Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW17096
- Practice address
- 2371 SW 15TH St Apt 99
Deerfield Beach, FL 33442-7540 - Phone
- (561) 779-0748
- Fax
- (754) 227-7804
- NPI assigned
- May 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW17096 | FL | Primary |
Addresses
Primary practice location
2371 SW 15TH St Apt 99
Deerfield Beach, FL 33442-7540
Mailing address
2371 SW 15TH St Apt 99
Deerfield Beach, FL 33442-7540
Phone (561) 779-0748
Other practice location 1
150 E Palmetto Park Rd
Boca Raton, FL 33432-4827
Phone (561) 779-0748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW17096 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Client Care LLC | Current | Accepting new patients | |
| Healing Couch Inc. | Clinical | Current | Accepting new patients |
Locations
150 E Palmetto Park Rd
Boca Raton, FL 33432
Phone (561) 287-0942
2915 Biscayne Blvd
Miami, FL 33137
4100 Corporate Sq
Naples, FL 34104
1645 Palm Beach Lakes Blvd
West Palm Beach, FL 33401
Phone (561) 203-6079
2312 Wilton Dr
Wilton Manors, FL 33305
Phone (954) 630-2336
923 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (603) 417-5470
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Boca Raton, FL
- NPI 1245788181
-
- Clinical Social Worker
- Tamarac, FL
- NPI 1336829639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1285372128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2371 SW 15TH ST APT 99",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334427540",
"telephone_number": "561-779-0748",
"fax_number": "754-227-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2371 SW 15TH ST APT 99",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334427540",
"telephone_number": "561-779-0748",
"fax_number": "754-227-7804"
}
],
"practiceLocations": [
{
"address_1": "150 E Palmetto Park Rd",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334324827",
"country_code": "US",
"telephone_number": "561-779-0748",
"fax_number": "754-227-7804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANENBLEY",
"first_name": "MELISSA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW17096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.