Individual provider Active NPI

Ellen B Flaum, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1942379375
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1893 Issued in FL
Practice address
1825 Forest Hill Blvd
Suite 103
West Palm Beach, FL 33406-8902
Phone
(561) 968-1505
Fax
(561) 968-1565
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 1893 FL Primary

Addresses

Primary practice location

1825 Forest Hill Blvd
Suite 103
West Palm Beach, FL 33406-8902

Mailing address

1825 Forest Hill Blvd
Suite 103
West Palm Beach, FL 33406-8902
Phone (561) 968-1505

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
I20101230000882 FL Practitioner - Clinical Social Worker 7416145792 Practice locations: West Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1825 Forest Hill Blvd
Suite 103
West Palm Beach, FL 33406-6058
Phone (561) 968-1505

1825 Forest Hill Blvd
Suite 103
West Palm Beach, FL 33406-6075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1893FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942379375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FOREST HILL BLVD",
            "address_2": "SUITE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334068902",
            "telephone_number": "561-968-1505",
            "fax_number": "561-968-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FOREST HILL BLVD",
            "address_2": "SUITE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334068902",
            "telephone_number": "561-968-1505",
            "fax_number": "561-968-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAUM",
        "first_name": "ELLEN",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "1893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.