Individual provider Active NPI

Moustapha Augustin

  • Clinical Social Worker
  • Palm Beach Gardens, FL
National Provider Identifier
1356861660
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
7731 N. Military Trail, Suite 4
Palm Beach Gardens, FL 33410
Phone
(561) 244-9499
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 Primary

Addresses

Primary practice location

7731 N. Military Trail, Suite 4
Palm Beach Gardens, FL 33410

Mailing address

7731 N Military TRL Ste 4
West Palm Beach, FL 33410-7430
Phone (561) 244-9499

Other practice location 1

2151 45th St Ste 210
West Palm Beach, FL 33407-2015
Phone (561) 285-3623

Other names 1

  • Moustapha Edouard 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
I20250226000878 FL Practitioner - Clinical Social Worker 7911427570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Haven LLCGroup PAC ID 7911212634, 25 clinicians

Practice addresses (Care Compare)

2151 45TH St
Suite 210
West Palm Beach, FL 33407-2015
Phone (561) 285-3623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Health Haven LLC CurrentSince Mar 12, 2025 Accepting new patients
Center for Child Counseling, Inc PastSince Jul 24, 2022 Accepting new patients

Locations

400 N Congress Ave
Ste 203
Lake Park, FL 33403
Phone (561) 285-3623

308 NW 5th Ave
Okeechobee, FL 34972
Phone (516) 640-6937

2151 45th St
Ste 210
West Palm Beach, FL 33407
Phone (561) 285-3623

4400 N Congress Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 285-3623

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1356861660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 N MILITARY TRL STE 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334107430",
            "telephone_number": "561-244-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 N. MILITARY TRAIL, SUITE 4",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-244-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 45th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072015",
            "country_code": "US",
            "telephone_number": "561-285-3623",
            "fax_number": "863-638-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "MOUSTAPHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOUSTAPHA",
            "last_name": "EDOUARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.