Active NPI
Phyllis Carol Goldbetter, LCSW
- Clinical Social Worker
- Boca Raton, FL
National Provider Identifier
1457398927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW3742
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1912951336
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.