Individual provider Active NPI

Aimee Runhaar-Taylor, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1659761963
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 6490 Issued in FL
Practice address
2717 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1664
Phone
(954) 288-0131
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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 6490 FL Primary

Addresses

Primary practice location

2717 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1664

Mailing address

9070 Kimberly Blvd
Ste 50
Boca Raton, FL 33434-2861
Phone (561) 852-0910

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
I20161209001006 FL Practitioner - Clinical Social Worker 3274813209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exceptional Services Group, LLCGroup PAC ID 1658403720, 13 clinicians

Practice addresses (Care Compare)

9250 Glades Rd
Suite 111
Boca Raton, FL 33434-3958
Phone (561) 852-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 6490FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Services Group, LLC Clinical CurrentSince Nov 10, 2016 Accepting new patients

Locations

9070 Kimberly Blvd
Ste 50
Boca Raton, FL 33434
Phone (561) 852-0910

9250 Glades Rd
Ste 111
Boca Raton, FL 33434
Phone (561) 479-2880

Organizations & group practices 1

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1659761963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD",
            "address_2": "STE 50",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342861",
            "telephone_number": "561-852-0910",
            "fax_number": "561-852-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND PARK BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061664",
            "telephone_number": "954-288-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNHAAR-TAYLOR",
        "first_name": "AIMEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.