Individual provider Active NPI

Jane Nolan, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1386700870
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00295200 Issued in NJ
Practice address
1645 Palm Beach Lakes Blvd Ste 440
West Palm Beach, FL 33401-2217
Phone
(609) 338-8835
Fax
(609) 926-1041
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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 44SC00295200 NJ Primary

Addresses

Primary practice location

1645 Palm Beach Lakes Blvd Ste 440
West Palm Beach, FL 33401-2217

Mailing address

231 Cypress Point Dr
Palm Beach Gardens, FL 33418-7158
Phone (609) 338-8835

Other identifiers 2

IdentifierTypeStateIssuer
338239OtherNJVALUE OPTIONS
4663813OtherNJAETNA

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
I20200313001449 FL Practitioner - Clinical Social Worker 7214182187 Practice locations: West Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1645 Palm Beach Lakes Blvd
Suite 440
West Palm Beach, FL 33401-2217
Phone (954) 325-1950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Association Past Accepting new patients
Therapy Partners of the Palm Beaches, LLC Past Accepting new patients
Atlanticare Health Services Inc. Past Accepting new patients

Organizations & group practices 3

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1386700870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CYPRESS POINT DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187158",
            "telephone_number": "609-338-8835",
            "fax_number": "609-926-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 PALM BEACH LAKES BLVD STE 440",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012217",
            "telephone_number": "609-338-8835",
            "fax_number": "609-926-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00295200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "338239",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4663813",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.