Individual provider Active NPI

Rebecca Klasfeld

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1801214523
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11202 Issued in FL
Practice address
399 Camino Gardens Blvd.
Suite 307
Boca Raton, FL 33432
Phone
(561) 441-9933
Fax
(561) 997-2533
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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 SW11202 FL Primary

Addresses

Primary practice location

399 Camino Gardens Blvd.
Suite 307
Boca Raton, FL 33432

Mailing address

5698 Saint Annes Way
Boca Raton, FL 33496-2541
Phone (561) 441-9933

Other identifiers 1

IdentifierTypeStateIssuer
1992121511OtherFLORGANIZATIONAL NPI

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
I20140829002102 FL Practitioner - Clinical Social Worker 4082832274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21301 Powerline Rd
Suite 304
Boca Raton, FL 33433-2391
Phone (561) 441-9933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Family Counseling,LLC Clinical CurrentSince May 1, 2014 Accepting new patients

Locations

399 Camino Gardens Blvd
Ste 307
Boca Raton, FL 33432
Phone (305) 609-3025

21301 Powerline Rd
Ste 304
Boca Raton, FL 33433
Phone (561) 441-9933

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1801214523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5698 SAINT ANNES WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962541",
            "telephone_number": "561-441-9933",
            "fax_number": "561-997-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 CAMINO GARDENS BLVD.",
            "address_2": "SUITE 307",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-441-9933",
            "fax_number": "561-997-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASFELD",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1992121511",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.