Individual provider Active NPI

Rebecca Dumaine, LCSW

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1629511951
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13505 Issued in FL
Practice address
10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437-3723
Phone
(561) 752-9490
Fax
(561) 752-9491
NPI assigned
Nov 17, 2016
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 SW13505 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437-3723

Mailing address

1065 NE 125TH St Ste 409
North Miami, FL 33161-5834
Phone (888) 852-6672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190823000182 FL Practitioner - Clinical Social Worker 1254669674 Reassigns benefits to 1 organization
I20240604001291 TN Practitioner - Clinical Social Worker 1254669674 Reassigns benefits to 1 organization
I20240719001207 TX Practitioner - Clinical Social Worker 1254669674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13505FLMDClinical Social Worker
8028TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince May 1, 2024 Accepting new patients
Ultima Rehab-FL LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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, 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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1629511951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615834",
            "telephone_number": "888-852-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE B6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAINE",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.