Active NPI
Kristen Midgette, LCSW
- Social Worker
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 6067 Hollywood Blvd Ste 200
Hollywood, FL 33024-7922 - Phone
- (786) 414-6666
- NPI assigned
- Oct 2, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
6067 Hollywood Blvd Ste 200
Hollywood, FL 33024-7922
Mailing address
6067 Hollywood Blvd Ste 200
Hollywood, FL 33024-7922
Phone (516) 567-3038
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10605 S Jog Rd
MTC the Barclay at Boynton Beach
Boynton Beach, FL 33437-3234
Phone (786) 414-6666
1080 NW 15TH St
Boca Raton, FL 33486-1331
Phone (786) 414-6666
111 Executive Ctr Dr
West Palm Beach, FL 33401-4849
Phone (561) 697-5500
16853 NE 2 Ave
North Miami Beach, FL 33162-1776
Phone (786) 414-6666
8500 Royal Palm Blvd
Coral Springs, FL 33065-5715
Phone (786) 414-6666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mtca Psychological Services P.a. | Current | Accepting new patients | |
| Senior Living Memory Health, Inc. | Current | Accepting new patients |
Locations
2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000
7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149
6067 Hollywood Blvd
Ste 200
Hollywood, FL 33024
16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162
16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817
111 Executive Center Dr
West Palm Beach, FL 33401
Phone (561) 300-4052
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.
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1740552322
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1851847834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1326523747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6067 HOLLYWOOD BLVD STE 200",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330247922",
"telephone_number": "516-567-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6067 HOLLYWOOD BLVD STE 200",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330247922",
"telephone_number": "786-414-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDGETTE",
"first_name": "KRISTEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.