Jerline Baltimore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15185 Issued in FL

Practice address

1720 NW North River Dr Apt 504
Miami, FL 33125-2361

Phone

(786) 800-7994

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Floridas Treatment Center

  • Psychiatry Physician
  • Lauderdale Lakes, FL
  • NPI 1114771797
  Medicare reassignment
• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1417439829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NW NORTH RIVER DR APT 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252361",
            "telephone_number": "786-800-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NW NORTH RIVER DR APT 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252361",
            "telephone_number": "786-800-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTIMORE",
        "first_name": "JERLINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Baltar Castro, RBT
• Carolina Baltar Castro
• Diana Baltar Castro
• Nicholas Baltera, DO
• Baltimore Medical Services Inc
• Pablo Antonio Baltodano Fallas, M.D.
• Roberto Jose Baltodano Jr.
• Amir Baluch, MD
• Ydielim Baluja Juvier
• Eliannys Baluja Linares, RBT

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.