Individual provider Active NPI

Asuncion Ortiz Kahn, LCSW ACSW ED.S.

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1558702415
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5127 Issued in FL
Practice address
1779 N University Dr
Suite 103
Pembroke Pines, FL 33024-0929
Phone
(954) 806-3050
NPI assigned
Jul 8, 2013
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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 SW5127 FL Primary

Addresses

Primary practice location

1779 N University Dr
Suite 103
Pembroke Pines, FL 33024-0929

Mailing address

1779 N University Dr
Suite 103
Pembroke Pines, FL 33024-0929
Phone (954) 806-3050

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
I20201105002081 FL Practitioner - Clinical Social Worker 7911217773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1131 NW 64TH Ter
Suite a
Gainesville, FL 32605-4261
Phone (239) 223-2751

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5127FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. CurrentSince Jan 20, 2021 Accepting new patients
Dna Comprehensive Therapy Services, LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Cotler Children and Family Services, LLC CurrentSince Oct 1, 2020 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

1131 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 363-2025

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

8461 Lake Worth Rd
Ste 250
Lake Worth, FL 33467

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 765-5437

1831 SE Lake Weir Ave
Ocala, FL 34471
Phone (352) 629-6077

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: asuncion.kahn.1@13142.direct.athenahealth.com

Organizations & group practices 5

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1558702415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 N UNIVERSITY DR",
            "address_2": "SUITE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240929",
            "telephone_number": "954-806-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 N UNIVERSITY DR",
            "address_2": "SUITE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240929",
            "telephone_number": "954-806-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "ASUNCION",
        "middle_name": "ORTIZ",
        "name_prefix": "Ms.",
        "credential": "LCSW ACSW ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.