JOELLE KACZMAREK (NPI# 1396397725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396397725 |
| Entity Type | Individual |
| Full Name | JOELLE KACZMAREK |
| Credential | MS |
| Practice Address |
16244 S Military Trl Ste 110 Delray Beach FL 33484-6505 |
| Mailing Address |
107 1st Way West Palm Beach FL 33407-6667 |
| Practice Telephone | 5618652550 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
16244 S MILITARY TRL STE 110 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811357015 | John Varano II | Counselor | 16244 S Military Trl Ste 110, Delray Beach, FL 33484-6505 | 2016-03-01 |
| 1902451560 | Stephen Montgomery | Counselor | 16244 S Military Trl Ste 110, Delray Beach, FL 33484-6505 | 2019-08-09 |
| 1992357230 | Samantha Nicole Napoli | Counselor | 16244 S Military Trl Ste 110, Delray Beach, FL 33484-6505 | 2019-07-16 |
| 1134577315 | Regina Petill | Counselor | 16244 S Military Trl Ste 110, Delray Beach, FL 33484-6505 | 2016-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554783 | Lee Sloan | Counselor | 2929 Sw 22nd Cir # 32b, Delray Beach, FL 33445-7890 | 2020-10-08 |
| 1275174823 | Monica Gray | Counselor | 100 E Linton Blvd Ste 150a, Delray Beach, FL 33483-3354 | 2019-10-04 |
| 1457712440 | Esin Pinarli | Counselor | 116 Via D Este, 405, Delray Beach, FL 33445-3959 | 2016-03-17 |
| 1043676893 | Southern Palms Oasis, Inc. | Counselor | 3936 Lowson Blvd, Delray Beach, FL 33445-5651 | 2016-01-10 |
| 1558748673 | Rosalyn Collins | Counselor | 4733 W Atlantic Ave Ste C17, Delray Beach, FL 33445-3706 | 2015-04-27 |
| 1114316056 | Michael Mayhall | Counselor | 213 Northwest 15th Avenue, Delray Beach, FL 33444 | 2015-01-15 |
| 1649699901 | Andrew Mulford | Counselor | 1780 Palm Cove Blvd Apt 109, Delray Beach, FL 33445-6794 | 2014-04-15 |
| 1497190466 | Linda Potere | Counselor | 885 Se 6th Ave, Suite C, Delray Beach, FL 33483-5184 | 2013-05-06 |
| 1548517089 | Real Life Recovery Delray LLC | Counselor | 413 Ne 3rd St, Delray Beach, FL 33483-4526 | 2012-08-14 |
| 1760639454 | Velda Lyons | Counselor | 85 Se 6th Ave Ste B, Delray Beach, FL 33483-5336 | 2008-08-25 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.