Active NPI
Carolyn North, LCSW
- Clinical Social Worker
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW6422
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW6422 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boca Raton Psychiatry, LLC | Current | Accepting new patients | |
| Mindpath Health Florida, PLLC | Clinical | Current | Accepting new patients |
| The Mae Volen Senior Center, Inc. | Clinical | Current | 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.
-
- Psychiatry Physician
- Boca Raton, FL
- NPI 1275056616
-
- Adult Day Care Clinic/Center
- Boca Raton, FL
- NPI 1700099918
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.