Individual provider Active NPI

Carolyn North, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1942677034
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6422 Issued in FL
Practice address
7860 Glades Rd
Suite 225
Boca Raton, FL 33434-4176
Phone
(561) 361-0500
Fax
(561) 479-0384
NPI assigned
Aug 25, 2015
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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 SW6422 FL Primary

Addresses

Primary practice location

7860 Glades Rd
Suite 225
Boca Raton, FL 33434-4176

Mailing address

1515 W Palmetto Park Rd
Suite 225
Boca Raton, FL 33486-3307
Phone (561) 395-8920

Other names 1

  • Carolyn Kelley Former name

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
I20170228000865 FL Practitioner - Clinical Social Worker 4082998620 Reassigns benefits to 3 organizations
Practice locations: Delray Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8736 Lewis River Rd
Delray Beach, FL 33446-9596
Phone (561) 867-6597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6422FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Psychiatry, LLC CurrentSince Apr 1, 2019 Accepting new patients
Mindpath Health Florida, PLLC Clinical CurrentSince Jun 20, 2020 Accepting new patients
The Mae Volen Senior Center, Inc. Clinical CurrentSince Sep 26, 2016 Accepting new patients

Locations

1515 W Palmetto Park Rd
Boca Raton, FL 33486
Phone (561) 395-8920

1515 W Palmetto Park Rd
Ste 225
Boca Raton, FL 33486

7000 W Palmetto Park Rd
Ste 407
Boca Raton, FL 33433
Phone (954) 227-2700

9980 Central Park Blvd N
Ste 210
Boca Raton, FL 33428
Phone (561) 342-8822

1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700

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.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1942677034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W PALMETTO PARK RD",
            "address_2": "SUITE 225",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863307",
            "telephone_number": "561-395-8920",
            "fax_number": "561-338-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 GLADES RD",
            "address_2": "SUITE 225",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344176",
            "telephone_number": "561-361-0500",
            "fax_number": "561-479-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "CAROLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "KELLEY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.