Individual provider Active NPI

Rachel Ann Rotem, LCSW

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1689018285
Registry record updated Nov 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11098 Issued in FL
Practice address
660 Linton Blvd
Ste 206F
Delray Beach, FL 33444-8202
Phone
(561) 373-0077
NPI assigned
Apr 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 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 SW11098 FL Primary

Addresses

Primary practice location

660 Linton Blvd
Ste 206F
Delray Beach, FL 33444-8202

Mailing address

8116 Viadana Bay Ave
Boynton Beach, FL 33473-5025
Phone (561) 373-0077

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
I20150204001156 FL Practitioner - Clinical Social Worker 8325363849 Practice locations: Boynton Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Knuth Rd
Suite 232
Boynton Beach, FL 33436-4637
Phone (561) 373-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11098FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478908800000",
    "number": "1689018285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 VIADANA BAY AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334735025",
            "telephone_number": "561-373-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LINTON BLVD",
            "address_2": "STE 206F",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448202",
            "telephone_number": "561-373-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTEM",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2016-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.