Madelyn Catherine Balitz, LCSW,ACHP-SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5382 Issued in FL

Practice address

5380 Gulf of Mexico Dr
Longboat Key, FL 34228-2048

Phone

(941) 238-0266

Fax

(941) 244-5505

NPI assigned

Sep 10, 2012

Last updated

Sep 10, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Intellihealth LLC

  • Clinical Psychologist
  • Longboat Key, FL
  • NPI 1942658802
  NPD (past)

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1427307180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 CONGREVE PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342416130",
            "telephone_number": "941-504-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 GULF OF MEXICO DR",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342282048",
            "telephone_number": "941-238-0266",
            "fax_number": "941-244-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALITZ",
        "first_name": "MADELYN",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW,ACHP-SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acute Care Team, Inc. (Act)
• Tonya Sue Badenhorst, PT, ATC, CSCS
• Loren Batsell, AP
• Peter Williams Birch
• Douglas Keith Black, O.D.
• Bonnie Joy Brodkin, MD
• Carnelian Consulting, LLC

• Clinical Social Worker in Longboat Key, FL
• Providers in Longboat Key, 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 Sep 10, 2012; 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.