Individual provider Active NPI

Arlene Jimenez

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1639776248
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW13958 Issued in FL
Practice address
8118 Florenza Dr
Boynton Beach, FL 33472-7140
Phone
(917) 583-5854
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 ISW13958 FL Primary

Addresses

Primary practice location

8118 Florenza Dr
Boynton Beach, FL 33472-7140

Mailing address

8118 Florenza Dr
Boynton Beach, FL 33472-7140
Phone (917) 583-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220204001226 FL Practitioner - Clinical Social Worker 9133512627 Reassigns benefits to 1 organization
I20240823003543 TX Practitioner - Mental Health Counselor 9133512627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brave Health Medical Group, PAGroup PAC ID 9537586052, 93 clinicians
Brave Health Inc.Group PAC ID 8123458981, 112 clinicians

Practice addresses (Care Compare)

675 Town Square Blvd
Garland, TX 75040-2992
Phone (305) 579-9538

8118 Florenza Dr
Boynton Beach, FL 33472-7140
Phone (305) 902-6347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW13958FLMDClinical Social Worker
110007TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Inc. CurrentSince Jan 26, 2022 Accepting new patients
Brave Health Medical Group PA CurrentSince Jul 1, 2024 Accepting new patients

Locations

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

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

Interoperability endpoints

  • Direct secure messaging: arlene.jimenez.1@23300.direct.athenahealth.com

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1639776248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 FLORENZA DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334727140",
            "telephone_number": "917-583-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 FLORENZA DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334727140",
            "telephone_number": "917-583-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW13958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.