Individual provider Active NPI

Eva Helena Kappelmann

  • Clinical Social Worker
  • Coconut Creek, FL
National Provider Identifier
1639980485
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW18236 Issued in FL
Practice address
3863 NW 35TH St
Coconut Creek, FL 33066-2408
Phone
(954) 515-6670
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 ISW18236 FL Primary

Addresses

Primary practice location

3863 NW 35TH St
Coconut Creek, FL 33066-2408

Mailing address

3863 NW 35TH St
Coconut Creek, FL 33066-2408
Phone (954) 515-6670

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
I20260421001719 FL Practitioner - Clinical Social Worker 8527534114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida Atlantic University, College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onward Counseling Group, LLCGroup PAC ID 2860877578, 3 clinicians

Practice addresses (Care Compare)

5851 La Gorce Cir
Lake Worth, FL 33463-7376
Phone (917) 796-6854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW18236FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Therapy Group, LLC Clinical Current Accepting new patients
Onward Counseling Group, LLC Clinical Past Accepting new patients

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1639980485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 NW 35TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662408",
            "telephone_number": "954-515-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 NW 35TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662408",
            "telephone_number": "954-515-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPELMANN",
        "first_name": "EVA",
        "middle_name": "HELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW18236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.