Ivona Bhadha, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 10040 Issued in FL

Practice address

1900 S Olive Ave
West Palm Beach, FL 33401-7726

Phone

(561) 287-0942

NPI assigned

May 13, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ivona Jancickova Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1710246665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 MISTY OAKS CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116809",
            "telephone_number": "561-287-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017726",
            "telephone_number": "561-287-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Palmetto Park Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334324833",
            "country_code": "US",
            "telephone_number": "561-287-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHADHA",
        "first_name": "IVONA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-13",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SW10040",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVONA",
            "last_name": "JANCICKOVA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hayley Elizabeth Betz
• Beverly Gibel, LCSW,Acsw, BCD, PA
• Cindy Bevier
• Beyond Homecare & Staffing Plus, LLC
• Dimitra Bezianis Munoz
• Haridas Bhadja, M.D.
• Ratan D Bhardwaj, MD
• Bhoodram Parsaram
• Danielle Rose Biancardi, CAA
• Mary Jane Bianco, MSPT

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.