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ANNEMARIE C BALFANZ LCSW
NPI 1184412363
Social Worker - Clinical in Miami, FL

Active since April 28, 2025PECOS Enrolled
1769 NW 15TH ST, MIAMI, FL 33125(504) 940-7060 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Annemarie C Balfanz Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNEMARIE C BALFANZ LCSW (NPI 1184412363) is an individual clinical provider in Miami, Florida, licensed in Florida (SW23723) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184412363
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNEMARIE C BALFANZCredential: LCSW
Location Address1769 NW 15TH STMiami, FL 33125-2301
Mailing Address1769 Nw 15th StMiami, FL 33125-2301 · (504) 940-7060
Phone(504) 940-7060
Sole ProprietorYes
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1184412363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW23723
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1769 NW 15TH ST, Miami, FL 33125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annemarie C Balfanz Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.92 – $187.05
Typical copayment $0.00 (range $15.23 – $46.76)
Most-billed visit code NA
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annemarie Balfanz's NPI number?

The NPI number for Annemarie Balfanz is 1184412363. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Annemarie Balfanz located?

Annemarie Balfanz practices at 1769 NW 15th St, Miami, FL 33125. The listed phone number is (504) 940-7060.

What is Annemarie Balfanz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Annemarie Balfanz enrolled in Medicare?

Yes. Annemarie Balfanz is registered in the Medicare PECOS enrollment system.

What insurance does Annemarie Balfanz accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Annemarie Balfanz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annemarie Balfanz was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.