Individual provider Active NPI

William Jovan Texidor

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1669338281
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25915 Issued in FL
Practice address
1776 Polk St Apt 405
Hollywood, FL 33020-4644
Phone
(860) 977-3000
NPI assigned
Dec 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW25915 FL Primary

Addresses

Primary practice location

1776 Polk St Apt 405
Hollywood, FL 33020-4644

Mailing address

1776 Polk St Apt 405
Hollywood, FL 33020-4644
Phone (860) 977-3000

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
I20260505004457 FL Practitioner - Clinical Social Worker 1951879287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1414 NW 107TH Ave
Suite 109
Sweetwater, FL 33172-2732

1414 NW 107TH Ave
Suite 109
Sweetwater, FL 33172-2739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW25915FLMDClinical Social Worker

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": "1766793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1669338281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 POLK ST APT 405",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204644",
            "telephone_number": "860-977-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 POLK ST APT 405",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204644",
            "telephone_number": "860-977-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEXIDOR",
        "first_name": "WILLIAM",
        "middle_name": "JOVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.