Organization Active NPI

Bereavement Specialists

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1407297443
Registry record updated Jul 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6823 Issued in FL
Legal business name
BEREAVEMENT SPECIALISTS
Practice address
5436 Courtney Cir
Boynton Beach, FL 33472-1248
Phone
(561) 574-7052
NPI assigned
Jul 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer E Melvin, LCSW, CTNPI 1699183442
Title
MGRM
Phone
(561) 574-7052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW6823 FL Primary

Addresses

Primary practice location

5436 Courtney Cir
Boynton Beach, FL 33472-1248

Mailing address

321 Sandtree Dr
Palm Beach Gardens, FL 33403-1520
Phone (561) 574-7052

Other names 1

  • Crossing Bridges Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373068800000",
    "number": "1407297443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SANDTREE DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031520",
            "telephone_number": "561-574-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 COURTNEY CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334721248",
            "telephone_number": "561-574-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREAVEMENT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-06",
        "last_updated": "2013-07-06",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "561-574-7052",
        "authorized_official_credential": "LCSW, CT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossing Bridges",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2013; 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.