Individual provider Active NPI

Keli Rochelle Karbowski, LCSW

  • Clinical Social Worker
  • Westlake, FL
National Provider Identifier
1306171004
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7252 Issued in FL
Practice address
15959 Whippoorwill Cir
Westlake, FL 33470-6511
Phone
(954) 234-0764
NPI assigned
Oct 14, 2009
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 SW7252 FL Primary

Addresses

Primary practice location

15959 Whippoorwill Cir
Westlake, FL 33470-6511

Mailing address

15959 Whippoorwill Cir
Westlake, FL 33470-6511
Phone (954) 234-0764

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
I20220311001194 FL Practitioner - Clinical Social Worker 3779978614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindy Staum LCSW PAGroup PAC ID 5890952998, 16 clinicians

Practice addresses (Care Compare)

5421 N University Dr
Suite 102
Coral Springs, FL 33067-4638
Phone (732) 580-8383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1306171004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15959 WHIPPOORWILL CIR",
            "city": "WESTLAKE",
            "state": "FL",
            "postal_code": "334706511",
            "telephone_number": "954-234-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15959 WHIPPOORWILL CIR",
            "city": "WESTLAKE",
            "state": "FL",
            "postal_code": "334706511",
            "telephone_number": "954-234-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBOWSKI",
        "first_name": "KELI",
        "middle_name": "ROCHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, FL

Sources for this page

Verify at the official NPI Registry.