Individual provider Active NPI

Alethea Maria Kluver-Williams, LCSW

  • Clinical Social Worker
  • Fort Pierce, FL
National Provider Identifier
1881877330
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 6696 Issued in FL
Practice address
709 S 5TH St
Fort Pierce, FL 34950-8339
Phone
(772) 468-5610
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 6696 FL Primary

Addresses

Primary practice location

709 S 5TH St
Fort Pierce, FL 34950-8339

Mailing address

709 S 5TH St
Fort Pierce, FL 34950-8339
Phone (772) 468-5610

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
I20080408000537 FL Practitioner - Clinical Social Worker 6709962228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Moon Senior CounselingGroup PAC ID 6103099759, 26 clinicians

Practice addresses (Care Compare)

900 NE 18TH Ave
Suite 1207
Fort Lauderdale, FL 33304-3052
Phone (954) 489-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 6696FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Moon Senior Counseling Clinical CurrentSince Dec 21, 2020 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Cotler Healthcare & Development Inc. CurrentSince Mar 8, 2020 Accepting new patients
GPS II Past Accepting new patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients
Atlantic Psychiatric Centers, Inc. Clinical PastSince Jan 24, 1997 Accepting new patients

Locations

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

15520 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 949-2626

5405 Babcock St NE
Palm Bay, FL 32905
Phone (321) 722-0660

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

Organizations & group practices 6

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1881877330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S 5TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508339",
            "telephone_number": "772-468-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S 5TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508339",
            "telephone_number": "772-468-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUVER-WILLIAMS",
        "first_name": "ALETHEA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.