Active NPI
Judith A. Siegel, L.C.S.W.
- Clinical Social Worker
- Coral Springs, FL
National Provider Identifier
1700966199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW2744
- Practice address
- 1515 N University Dr
Suite 116a
Coral Springs, FL 33071-6096 - Phone
- (954) 752-0460
- Fax
- (954) 752-4542
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW2744 | FL | Primary |
Addresses
Primary practice location
1515 N University Dr
Suite 116a
Coral Springs, FL 33071-6096
Mailing address
5010 Banyan LN
Tamarac, FL 33319-3520
Phone (954) 730-9821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindpath Health Florida, PLLC | Clinical | Past | Accepting new patients |
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": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700966199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 BANYAN LN",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333193520",
"telephone_number": "954-730-9821",
"fax_number": "954-777-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N UNIVERSITY DR",
"address_2": "SUITE 116A",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716096",
"telephone_number": "954-752-0460",
"fax_number": "954-752-4542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "JUDITH",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW2744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.