Individual provider Active NPI

Nicole Iodice, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1740717339
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16217 Issued in FL
Practice address
7300 Camino Real Ste 104
Boca Raton, FL 33433-5509
Phone
(203) 858-3295
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 SW16217 FL Primary

Addresses

Primary practice location

7300 Camino Real Ste 104
Boca Raton, FL 33433-5509

Mailing address

1239 Hillsboro Mile Apt 308
Hillsboro Beach, FL 33062-1335

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
I20190821004091 FL Practitioner - Clinical Social Worker 6204164791 Reassigns benefits to 2 organizations
Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Feb 1, 2022 Accepting new patients
Raul J Rodriguez Mdpa CurrentSince Jul 30, 2019 Accepting new patients
Nicole Iodice CurrentSince Apr 1, 2020 Accepting new patients

Locations

7300 Camino Real
Ste 104
Boca Raton, FL 33433
Phone (203) 858-3295

403 SE 1st St
Delray Beach, FL 33483
Phone (561) 266-8866

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1740717339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 HILLSBORO MILE APT 308",
            "city": "HILLSBORO BEACH",
            "state": "FL",
            "postal_code": "330621335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 CAMINO REAL STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335509",
            "telephone_number": "203-858-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IODICE",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.