Active NPI
Jane Nolan, LCSW
- Clinical Social Worker
- West Palm Beach, FL
National Provider Identifier
1386700870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00295200
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338239 | Other | NJ | VALUE OPTIONS |
| 4663813 | Other | NJ | AETNA |
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Palm Beach, FL
- NPI 1720539463
-
- Federally Qualified Health Center (FQHC)
- Galloway, NJ
- NPI 1043700495
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Galloway, NJ
- NPI 1912958513
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.