Individual provider Active NPI

Kathleen Kerley Hillman

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1720049943
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1653 Issued in FL
Practice address
7100 W Camino Real Ste 401
Boca Raton, FL 33433-5510
Phone
(954) 360-9230
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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 SW1653 FL Primary

Addresses

Primary practice location

7100 W Camino Real Ste 401
Boca Raton, FL 33433-5510

Mailing address

7100 W Camino Real Ste 401
Boca Raton, FL 33433-5510
Phone (954) 360-9230

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
I20041110001304 FL Practitioner - Clinical Social Worker 0648233593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7100 W Camino Real
Suite 401
Boca Raton, FL 33433-5510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1653FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen K Hillman, LCSW, PA Clinical CurrentSince Oct 17, 1990 Accepting new patients

Locations

2499 Glades Rd
Ste 108
Boca Raton, FL 33431
Phone (561) 512-0802

7000 W Palmetto Park Rd
Ste 210
Boca Raton, FL 33433
Phone (561) 409-4490

7100 Camino Real
Ste 401
Boca Raton, FL 33433
Phone (561) 368-8998

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1720049943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL STE 401",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "954-360-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL STE 401",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "954-360-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "KATHLEEN",
        "middle_name": "KERLEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.