HOLLIS WIDDEKIND LCSW
NPI 1720467970
Social Worker - Clinical in Boca Raton, FL

Active since May 20, 2015PECOS EnrolledAccepts Medicare Assignment
621 NW 53RD ST STE 125, BOCA RATON, FL 33487(954) 663-2475 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hollis Widdekind Lcsw NPPES

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

HOLLIS WIDDEKIND LCSW (NPI 1720467970) is an individual clinical provider in Boca Raton, Florida, licensed in Florida (SW 12779) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1720467970
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLIS WIDDEKINDCredential: LCSW
Location Address621 NW 53RD ST STE 125Boca Raton, FL 33487-8236
Mailing Address111 Eubanks CtWoodstock, GA 30188-1903 · (954) 663-2475
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 20, 2015
Last NPPES UpdateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
NPI 1720467970 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 · SW 12779
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.
621 NW 53RD ST STE 125, Boca Raton, FL 33487

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hollis Widdekind Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810298502
PECOS Enrollment IDI20151222002754
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 33487 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 $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Home Health)
621 NW 53RD ST STE 125
BOCA RATON, FL 33487
Acupuncturist
621 NW 53RD ST STE 125
BOCA RATON, FL 33487
Speech-Language Pathologist
621 NW 53RD ST STE 125
BOCA RATON, FL 33487
In Home Supportive Care
621 NW 53RD ST STE 125
BOCA RATON, FL 33487
Nursing Facility/Intermediate Care Facility
621 NW 53RD ST STE 125
BOCA RATON, FL 33487
Community/Behavioral Health
621 NW 53RD ST STE 125
BOCA RATON, FL 33487
Acupuncturist
621 NW 53RD ST STE 125
BOCA RATON, FL 33487

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 Hollis Widdekind's NPI number?

The NPI number for Hollis Widdekind is 1720467970. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Hollis Widdekind located?

Hollis Widdekind practices at 621 NW 53rd St Ste 125, Boca Raton, FL 33487. The listed phone number is (954) 663-2475.

What is Hollis Widdekind's specialty?

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

Is Hollis Widdekind enrolled in Medicare?

Yes. Hollis Widdekind is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hollis Widdekind was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.