Individual provider Active NPI

Christina Eudora June Belknap, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1306414495
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021888 Issued in PA
Practice address
4700 N Congress Ave Ste 301
West Palm Beach, FL 33407-3292
Phone
(856) 412-8900
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 CW021888 PA Primary

Addresses

Primary practice location

4700 N Congress Ave Ste 301
West Palm Beach, FL 33407-3292

Mailing address

4700 N Congress Ave Ste 301
West Palm Beach, FL 33407-3292
Phone (856) 412-8900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021888PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1306414495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE STE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073292",
            "telephone_number": "856-412-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE STE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073292",
            "telephone_number": "856-412-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELKNAP",
        "first_name": "CHRISTINA",
        "middle_name": "EUDORA JUNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.