Active NPI
Avraham Antine, LCSW
- Clinical Social Worker
- Delray Beach, FL
National Provider Identifier
1497129803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13094
- Practice address
- 85 SE 4TH Ave
Unit 104-105
Delray Beach, FL 33483-3348 - Phone
- (561) 777-0226
- NPI assigned
- Nov 23, 2015
- Sex
- Male
- 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 | 13094 | FL | Primary |
Addresses
Primary practice location
85 SE 4TH Ave
Unit 104-105
Delray Beach, FL 33483-3348
Mailing address
85 SE 4TH Ave
Unit 104-105
Delray Beach, FL 33483-4574
Phone (561) 777-0226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13094 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1497129803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SE 4TH AVE",
"address_2": "UNIT 104-105",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334834574",
"telephone_number": "561-777-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SE 4TH AVE",
"address_2": "UNIT 104-105",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334833348",
"telephone_number": "561-777-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTINE",
"first_name": "AVRAHAM",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-23",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "13094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.