Individual provider Active NPI

Jodi Lyn Brazlavsky, LCSW

  • Clinical Social Worker
  • Aventura, FL
National Provider Identifier
1598065294
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5700 Issued in FL
Practice address
2750 NE 185TH St
Suite 305
Aventura, FL 33180-2876
Phone
(305) 933-5733
Fax
(305) 933-5233
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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 SW 5700 FL Primary

Addresses

Primary practice location

2750 NE 185TH St
Suite 305
Aventura, FL 33180-2876

Mailing address

2750 NE 185TH St
Suite 305
Aventura, FL 33180-2876
Phone (305) 933-5733

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
I20110316000224 FL Practitioner - Clinical Social Worker 8123200920 Practice locations: Aventura, FL; Jupiter, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17501 Biscayne Blvd
Aventura, FL 33160-4806
Phone (305) 933-5733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical Providers PC Past Accepting new patients
Synergy Clinical Group Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1598065294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 NE 185TH ST",
            "address_2": "SUITE 305",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802876",
            "telephone_number": "305-933-5733",
            "fax_number": "305-933-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 NE 185TH ST",
            "address_2": "SUITE 305",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802876",
            "telephone_number": "305-933-5733",
            "fax_number": "305-933-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZLAVSKY",
        "first_name": "JODI",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.