Individual provider Active NPI

Judy Bernstein Gotthoffer

  • Clinical Social Worker
  • Pompano Beach, FL
National Provider Identifier
1356480735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8411 Issued in FL
Practice address
801 N Ocean Blvd
#704
Pompano Beach, FL 33062-4033
Phone
(954) 942-0112
Fax
(954) 942-0112
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW8411 FL Primary
Clinical Social Worker 1041C0700X RO36687-1 NY

Addresses

Primary practice location

801 N Ocean Blvd
#704
Pompano Beach, FL 33062-4033

Mailing address

801 N Ocean Blvd
#704
Pompano Beach, FL 33062-4033
Phone (954) 942-0112

Other names 1

  • Miss Judy Lenore Bernstein Former name

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
I20080515000499 FL Practitioner - Clinical Social Worker 8123926318 Practice locations: Coconut Creek, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1804 Eleuthera PT
Apt L1
Coconut Creek, FL 33066-2836
Phone (954) 942-0112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8411FLMDClinical Social Worker
RO36687-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356480735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N OCEAN BLVD",
            "address_2": "#704",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624033",
            "telephone_number": "954-942-0112",
            "fax_number": "954-942-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N OCEAN BLVD",
            "address_2": "#704",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624033",
            "telephone_number": "954-942-0112",
            "fax_number": "954-942-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTHOFFER",
        "first_name": "JUDY",
        "middle_name": "BERNSTEIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8411",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO36687-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "BERNSTEIN",
            "middle_name": "LENORE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.