Individual provider Active NPI

Erin McKinney, LCSW

  • Clinical Social Worker
  • North Palm Beach, FL
National Provider Identifier
1669845103
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15349 Issued in FL
Practice address
721 US 1 Ste 112
North Palm Beach, FL 33408-4519
Phone
(321) 345-7339
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 SW15349 FL Primary

Addresses

Primary practice location

721 US 1 Ste 112
North Palm Beach, FL 33408-4519

Mailing address

721 US 1 Ste 112
North Palm Beach, FL 33408-4519
Phone (321) 345-7339

Other practice location 1

5700 Lake Worth Rd Ste 210
Greenacres, FL 33463-4727
Phone (321) 345-7339

Other practice location 2

12773 Forest Hill Blvd Ste 1211
Wellington, FL 33414-4760
Phone (561) 223-1066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW15349FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deeply Rooted Psychotherapy, LLC Clinical CurrentSince Feb 1, 2023 Accepting new patients

Locations

860 US Highway 1
Ste 206
North Palm Beach, FL 33408
Phone (321) 345-7339

721 US 1
Ste 112
North Palm Beach, FL 33408
Phone (321) 345-7339

1850 Forest Hill Blvd
Ste 203
West Palm Beach, FL 33406
Phone (561) 332-4477

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1669845103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 US 1 STE 112",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084519",
            "telephone_number": "321-345-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 US 1 STE 112",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084519",
            "telephone_number": "321-345-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Lake Worth Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334634727",
            "country_code": "US",
            "telephone_number": "321-345-7339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12773 Forest Hill Blvd Ste 1211",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334144760",
            "country_code": "US",
            "telephone_number": "561-223-1066",
            "fax_number": "561-223-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.