Individual provider Active NPI

Claudia Betancur, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1689721870
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8336 Issued in FL
Practice address
10406 Taft St
Pembroke Pines, FL 33026-2819
Phone
(954) 436-3880
Fax
(954) 436-3881
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 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 SW8336 FL Primary

Addresses

Primary practice location

10406 Taft St
Pembroke Pines, FL 33026-2819

Mailing address

10406 Taft St
Pembroke Pines, FL 33026-2819
Phone (954) 436-3880

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
I20221129003542 FL Practitioner - Clinical Social Worker 2769850478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8336FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Lotus Therapy Inc Clinical CurrentSince Nov 1, 2022 Accepting new patients

Locations

6990 Griffin Rd
Davie, FL 33314
Phone (754) 248-9589

6824 Griffin Rd
Davie, FL 33314
Phone (754) 248-9589

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1689721870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10406 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262819",
            "telephone_number": "954-436-3880",
            "fax_number": "954-436-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10406 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262819",
            "telephone_number": "954-436-3880",
            "fax_number": "954-436-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCUR",
        "first_name": "CLAUDIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.