Individual provider Active NPI

Joan B. Kieffer, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1386785376
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7356 Issued in FL
Practice address
5205 Greenwood Ave Ste 105
West Palm Beach, FL 33407-2400
Phone
(561) 244-9499
Fax
(561) 345-3800
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 SW7356 FL Primary

Addresses

Primary practice location

5205 Greenwood Ave Ste 105
West Palm Beach, FL 33407-2400

Mailing address

8895 N Military Trail, Ste 300C
Palm Beach Gardens, FL 33410-6279
Phone (615) 244-9499

Other identifiers 1

IdentifierTypeStateIssuer
108158200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW7356FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Child Counseling, Inc CurrentSince Apr 20, 2021 Accepting new patients

Locations

5205 Greenwood Ave
Ste 105
West Palm Beach, FL 33407
Phone (561) 244-9499

8895 N Military Trl
Ste 300C
West Palm Beach, FL 33410
Phone (561) 244-9499

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.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1386785376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRAIL, STE 300C",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106279",
            "telephone_number": "615-244-9499",
            "fax_number": "561-345-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 GREENWOOD AVE STE 105",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072400",
            "telephone_number": "561-244-9499",
            "fax_number": "561-345-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFFER",
        "first_name": "JOAN",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108158200",
            "state": "FL"
        }
    ],
    "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 Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.