Active NPI
Fayanne Kuttler, LCSW
- Social Worker
- Aventura, FL
National Provider Identifier
1376521237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW001836
- Practice address
- 2751 NE 183Rd St
Aventura, FL 33160-2160 - Phone
- (305) 401-5484
- Fax
- (954) 337-3309
- NPI assigned
- Jan 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | SW001836 | FL | Primary |
Addresses
Primary practice location
2751 NE 183Rd St
Aventura, FL 33160-2160
Mailing address
PO Box 801936
Miami, FL 33280-1936
Phone (954) 224-0555
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130425000052 | FL | Practitioner - Clinical Social Worker | 5496991168 | Practice locations: Miami, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19870 NE 23Rd Ave
Miami, FL 33180-2141
Phone (954) 357-1172
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW001836 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Stanley and Pearl Goodman JFS of Broward County Inc | Past | 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.
-
- Clinical Social Worker
- Davie, FL
- NPI 1760463236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526774400000",
"number": "1376521237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801936",
"city": "MIAMI",
"state": "FL",
"postal_code": "332801936",
"telephone_number": "954-224-0555",
"fax_number": "954-840-8254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 NE 183RD ST",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331602160",
"telephone_number": "305-401-5484",
"fax_number": "954-337-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTTLER",
"first_name": "FAYANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-02",
"last_updated": "2018-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW001836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2018; 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.