Hollis Widdekind, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 12779 Issued in FL

Practice address

621 NW 53Rd St Ste 125
Boca Raton, FL 33487-8236

Phone

(954) 663-2475

NPI assigned

May 20, 2015

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

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hollis Silverman, PA

  • Community/Behavioral Health Agency
  • Boca Raton, FL
  • NPI 1629457874
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1720467970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EUBANKS CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881903",
            "telephone_number": "954-663-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NW 53RD ST STE 125",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878236",
            "telephone_number": "954-663-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDDEKIND",
        "first_name": "HOLLIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wholehealth Physical Therapy, LLC
• Wholesome Family Wellness LLC
• Wholesome Therapy Center Inc
• Paul Whritenour
• Lloyd George Wickboldt, MD
• Jonathan Wideroff, M.D.
• Brian Adam Wiederhold, PA-C
• Martin Wiederkehr, B.S. PHARM
• David Wiederman
• Jonathan I Wiener, M.D.

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, 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 Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.