Individual provider Active NPI

David B Wohlsifer, PH.D.

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1962572750
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013309 Issued in PA
Practice address
370 Camino Gardens Blvd
Suite 117
Boca Raton, FL 33432-5816
Phone
(561) 409-9701
Fax
(561) 922-0371
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW013309 PA Primary
Clinical Social Worker 1041C0700X SW 11673 FL

Addresses

Primary practice location

370 Camino Gardens Blvd
Suite 117
Boca Raton, FL 33432-5816

Mailing address

370 Camino Gardens Blvd
Suite 117
Boca Raton, FL 33432-5816
Phone (561) 409-9701

Other identifiers 1

IdentifierTypeStateIssuer
EINOther20-0389297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW 11673FLMDClinical Social Worker
CW013309PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1962572750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD",
            "address_2": "SUITE 117",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325816",
            "telephone_number": "561-409-9701",
            "fax_number": "561-922-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD",
            "address_2": "SUITE 117",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325816",
            "telephone_number": "561-409-9701",
            "fax_number": "561-922-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLSIFER",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013309",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 11673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "20-0389297",
            "identifier": "EIN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.