Individual provider Active NPI

Jeffrey Perlman, LCSW

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1336230341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6634 Issued in FL
Practice address
14000 Military TRL
Suite 206C
Delray Beach, FL 33484-2610
Phone
(561) 498-1160
Fax
(561) 498-1160
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW6634 FL Primary

Addresses

Primary practice location

14000 Military TRL
Suite 206C
Delray Beach, FL 33484-2610

Mailing address

14000 Military TRL
Suite 206C
Delray Beach, FL 33484-2610
Phone (561) 498-1160

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
I20041029000200 FL Practitioner - Clinical Social Worker 8426010729 Practice locations: Delray Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15300 S Jog Rd
Suite 109
Delray Beach, FL 33446-2164
Phone (954) 803-8619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6634FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Perlman, PH.D., LCSW Clinical PastSince May 1, 2014 Accepting new patients

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336230341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 MILITARY TRL",
            "address_2": "SUITE 206C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334842610",
            "telephone_number": "561-498-1160",
            "fax_number": "561-498-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 MILITARY TRL",
            "address_2": "SUITE 206C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334842610",
            "telephone_number": "561-498-1160",
            "fax_number": "561-498-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMAN",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.