Individual provider Active NPI

Irene Rifkind, LCSW

  • Clinical Social Worker
  • Wellington, FL
National Provider Identifier
1578112694
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13841 Issued in FL
Practice address
12161 Ken Adams Way Ste 154
Wellington, FL 33414-3194
Phone
(410) 206-1767
Fax
(561) 227-1510
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 SW13841 FL Primary

Addresses

Primary practice location

12161 Ken Adams Way Ste 154
Wellington, FL 33414-3194

Mailing address

2705 Nassau Rd
West Palm Beach, FL 33406-7773
Phone (410) 206-1767

Other practice location 1

2328 S Congress Ave Ste 2D
West Palm Beach, FL 33406-7674
Phone (410) 206-1767

Other practice location 2

2705 Nassau Rd
West Palm Beach, FL 33406-7773
Phone (410) 206-1767

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

LicenseStateTypeSpecialty
SW13841FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1578112694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 NASSAU RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067773",
            "telephone_number": "410-206-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12161 KEN ADAMS WAY STE 154",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143194",
            "telephone_number": "410-206-1767",
            "fax_number": "561-227-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2328 S Congress Ave Ste 2D",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334067674",
            "country_code": "US",
            "telephone_number": "410-206-1767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 Nassau Rd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334067773",
            "country_code": "US",
            "telephone_number": "410-206-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIFKIND",
        "first_name": "IRENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.