Organization Active NPI

Counseling Center for Growth and Recovery, LLC

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1639574171
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11390 Issued in FL
Legal business name
COUNSELING CENTER FOR GROWTH AND RECOVERY, LLC
Practice address
100 E Linton Blvd
Suite 155a
Delray Beach, FL 33483-3327
Phone
(561) 404-1482
Fax
(561) 819-9822
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Irving Schattner, LCSWNPI 1346674827
Title
Director
Phone
(561) 302-0701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW11390 FL Primary

Addresses

Primary practice location

100 E Linton Blvd
Suite 155a
Delray Beach, FL 33483-3327

Mailing address

603 Andrews Ave
Delray Beach, FL 33483-7207
Phone (561) 302-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150219001294 FL Part B Supplier - Clinic/Group Practice 7719202589 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

100 E Linton Blvd
Ste 155A
Delray Beach, FL 33483
Phone (561) 404-1482

100 E Linton Blvd
Ste 202B
Delray Beach, FL 33483
Phone (561) 302-0701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1639574171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 ANDREWS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334837207",
            "telephone_number": "561-302-0701",
            "fax_number": "561-819-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LINTON BLVD",
            "address_2": "SUITE 155A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833327",
            "telephone_number": "561-404-1482",
            "fax_number": "561-819-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER FOR GROWTH AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "SCHATTNER",
        "authorized_official_first_name": "IRVING",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-302-0701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11390",
            "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 Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.