Individual provider Active NPI

Patricia Ann Powell, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1801015011
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 7176 Issued in FL
Practice address
5820 N Federal Hwy
Suite A1
Boca Raton, FL 33487-4003
Phone
(561) 699-1374
Fax
(561) 241-9210
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW 7176 FL Primary

Addresses

Primary practice location

5820 N Federal Hwy
Suite A1
Boca Raton, FL 33487-4003

Mailing address

5820 N Federal Hwy
Suite A1
Boca Raton, FL 33487-4003
Phone (561) 699-1374

Other identifiers 1

IdentifierTypeStateIssuer
Z088JOtherFLBLUE CROSS PROVIDER NUMBE

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
I20050314000313 FL Practitioner - Clinical Social Worker 0244285294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Different Like Me IncGroup PAC ID 0840385753, 10 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 120
Boca Raton, FL 33487-5712
Phone (561) 270-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 7176FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Different Like Me Inc Clinical CurrentSince Mar 8, 2014 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801015011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 N FEDERAL HWY",
            "address_2": "SUITE A1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874003",
            "telephone_number": "561-699-1374",
            "fax_number": "561-241-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 N FEDERAL HWY",
            "address_2": "SUITE A1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874003",
            "telephone_number": "561-699-1374",
            "fax_number": "561-241-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "Z088J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.