Individual provider Active NPI

Doni Greenblatt, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1437460672
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9091 Issued in FL
Practice address
22310 Guadeloupe St
Boca Raton, FL 33433-4939
Phone
(561) 347-5025
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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 SW9091 FL Primary

Addresses

Primary practice location

22310 Guadeloupe St
Boca Raton, FL 33433-4939

Mailing address

22310 Guadeloupe St
Boca Raton, FL 33433-4939
Phone (561) 347-5025

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000166 FL Practitioner - Clinical Social Worker 0547454399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theracounsel, Inc.Group PAC ID 0143206466, 17 clinicians

Practice addresses (Care Compare)

2808 NE 22ND St
Fort Lauderdale, FL 33305-2804

4546 N Federal Hwy
Fort Lauderdale, FL 33308-5204
Phone (954) 716-6514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9091FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Theracounsel, Inc. Clinical CurrentSince Oct 20, 2011 Accepting new patients
Alpert Jewish Family & Children Services, Inc Clinical Past Accepting new patients
Different Like Me Inc Clinical Past Accepting new patients

Locations

4546 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 328-6163

Organizations & group practices 4

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1437460672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22310 GUADELOUPE ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334939",
            "telephone_number": "561-347-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22310 GUADELOUPE ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334939",
            "telephone_number": "561-347-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "DONI",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.