Individual provider Active NPI

Daniela Riccelli, LCSW, MCAP, ICADC.

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1730444092
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11875 Issued in FL
Practice address
2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931
Phone
(561) 543-1028
Fax
(561) 223-3879
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW11875 FL
School Social Worker 1041S0200X SW11875 FL
Clinical Social Worker 1041C0700X SW11875 FL Primary

Addresses

Primary practice location

2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931

Mailing address

PO Box 14188
North Palm Beach, FL 33408-0188
Phone (561) 543-1028

Other identifiers 2

IdentifierTypeStateIssuer
1104237791MedicaidFL
1730444092MedicaidFL

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
I20200313001901 FL Practitioner - Clinical Social Worker 7618305236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Haven LLCGroup PAC ID 7911212634, 25 clinicians

Practice addresses (Care Compare)

2151 45TH St
Suite 210
West Palm Beach, FL 33407-2015
Phone (561) 285-3623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Haven LLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

308 NW 5th Ave
Okeechobee, FL 34972
Phone (516) 640-6937

2151 45th St
Ste 210
West Palm Beach, FL 33407
Phone (561) 285-3623

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730444092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14188",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334080188",
            "telephone_number": "561-543-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065931",
            "telephone_number": "561-543-1028",
            "fax_number": "561-223-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCELLI",
        "first_name": "DANIELA",
        "credential": "LCSW, MCAP, ICADC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW11875",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": "SW11875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104237791",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730444092",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.