Heather Tate Boldt

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1551 Forum PL
400 D & E
West Palm Beach, FL 33401-2319

Phone

(561) 616-8411

NPI assigned

Jan 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Community Christian Counseling Center

  • Mental Health Counselor
  • Palm Beach Gardens, FL
  • NPI 1043304918
  NPD (past)

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1720359672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 52ND ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072723",
            "telephone_number": "786-385-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 FORUM PL",
            "address_2": "400 D & E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012319",
            "telephone_number": "561-616-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE BOLDT",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lucille Targonski
• Beenish Tariq, RPH
• Jacey R Tartaglione, BCBA
• Evelyn Cristina Tarud, LMHC
• Theresa Tarver
• Linda Tatoute, FNP
• Anavah R Tatroe
• Mary Tatum, LMHC
• Sheldon J Taub, M.D.
• Carolina Taupo, MS. RDN/LDN

• 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 Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.