Individual provider Active NPI

Phyllis Carol Goldbetter, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1457398927
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3742 Issued in FL
Practice address
2499 Glades Rd
Suite 108
Boca Raton, FL 33431-7209
Phone
(561) 512-0802
Fax
(561) 791-7513
NPI assigned
Jun 1, 2006
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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 SW3742 FL Primary

Addresses

Primary practice location

2499 Glades Rd
Suite 108
Boca Raton, FL 33431-7209

Mailing address

1420 Brampton CV
Wellington, FL 33414-8961
Phone (561) 512-0802

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
I20040929000152 FL Practitioner - Clinical Social Worker 8729057542 Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2499 Glades Rd
Suite 108
Boca Raton, FL 33431-7260
Phone (561) 512-0802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phyllis Goldbetter LCSW Inc Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1457398927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 BRAMPTON CV",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148961",
            "telephone_number": "561-512-0802",
            "fax_number": "561-791-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD",
            "address_2": "SUITE 108",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317209",
            "telephone_number": "561-512-0802",
            "fax_number": "561-791-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBETTER",
        "first_name": "PHYLLIS",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.