Organization Active NPI

Phyllis Goldbetter LCSW Inc

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1912951336
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3742 Issued in FL
Legal business name
PHYLLIS GOLDBETTER LCSW INC
Practice address
2499 Glades Rd
Suite 108
Boca Raton, FL 33431-7209
Phone
(561) 512-0802
Fax
(561) 791-7513
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Phyllis Carol Goldbetter, LCSWNPI 1457398927
Title
President
Phone
(561) 512-0802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW3742 FL Primary

Addresses

Primary practice location

2499 Glades Rd
Suite 108
Boca Raton, FL 33431-7209

Mailing address

1420 Brampton CV
Wellington, FL 33414-8961
Phone (561) 512-0802

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1912951336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 BRAMPTON CV",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148961",
            "telephone_number": "561-512-0802",
            "fax_number": "561-791-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD",
            "address_2": "SUITE 108",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317209",
            "telephone_number": "561-512-0802",
            "fax_number": "561-791-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS GOLDBETTER LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "GOLDBETTER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-512-0802",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3742",
            "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 Jul 10, 2007; 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.