Individual provider Active NPI

Ann Salazar Spackman, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1285732867
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11196 Issued in FL
Practice address
311 Golf Rd Ste 1000
West Palm Beach, FL 33407-5501
Phone
(954) 418-2751
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW11196 FL Primary

Addresses

Primary practice location

311 Golf Rd Ste 1000
West Palm Beach, FL 33407-5501

Mailing address

311 Golf Rd Ste 1000
West Palm Beach, FL 33407-5501
Phone (954) 418-2751

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
I20200428001787 FL Practitioner - Clinical Social Worker 4082044326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11196FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baru Wellness, PLLC Clinical Current Accepting new patients

Locations

311 Golf Rd
Ste 1000
West Palm Beach, FL 33407
Phone (561) 833-1747

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1285732867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GOLF RD STE 1000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075501",
            "telephone_number": "954-418-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GOLF RD STE 1000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075501",
            "telephone_number": "954-418-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACKMAN",
        "first_name": "ANN",
        "middle_name": "SALAZAR",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.