Active NPI
Judine Tessier Hitchmon, LCSW
- Clinical Social Worker
- Miami, FL
National Provider Identifier
1871961482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12345
- Practice address
- 20701 NE 10TH Path
Miami, FL 33179-1940 - Phone
- (202) 779-8655
- NPI assigned
- Sep 14, 2015
- Last updated
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW12345 | FL | Primary |
Addresses
Primary practice location
20701 NE 10TH Path
Miami, FL 33179-1940
Mailing address
350 SE 6TH St
Dania Beach, FL 33004-4723
Phone (202) 779-8655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW12345 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Care Assisted Living, LLC | Clinical | Current | Accepting new patients |
| Kristimae, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Pompano Beach, FL
- NPI 1659805828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1871961482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SE 6TH ST",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330044723",
"telephone_number": "202-779-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20701 NE 10TH PATH",
"city": "MIAMI",
"state": "FL",
"postal_code": "331791940",
"telephone_number": "202-779-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHMON",
"first_name": "JUDINE",
"middle_name": "TESSIER",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-14",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.