Individual provider Active NPI

Yocheved Gotkin, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1881228807
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17087 Issued in FL
Practice address
7100 Camino Real
Boca Raton, FL 33433-5510
Phone
(561) 571-1557
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 SW17087 FL Primary

Addresses

Primary practice location

7100 Camino Real
Boca Raton, FL 33433-5510

Mailing address

22553 Swordfish Dr
Boca Raton, FL 33428-4614
Phone (561) 570-1557

Other practice location 1

2900 N University Dr
Coral Springs, FL 33065-5083
Phone (561) 571-1557

Other practice location 2

7777 Glades Rd Ste 100
Boca Raton, FL 33434-4150
Phone (561) 571-1557

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

LicenseStateTypeSpecialty
SW17087FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1881228807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22553 SWORDFISH DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284614",
            "telephone_number": "561-570-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 CAMINO REAL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-571-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330655083",
            "country_code": "US",
            "telephone_number": "561-571-1557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Glades Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334344150",
            "country_code": "US",
            "telephone_number": "561-571-1557",
            "fax_number": "561-634-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTKIN",
        "first_name": "YOCHEVED",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.