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KAIDIAN BOUBACAR MSW
NPI 1821893249
Social Worker - Clinical in Fort Lauderdale, FL

Active since February 18, 2025PECOS Enrolled
1314 E LAS OLAS BLVD # 1590, FORT LAUDERDALE, FL 33301(954) 560-4279(954) 522-5174 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kaidian Boubacar Msw NPPES

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

KAIDIAN BOUBACAR MSW (NPI 1821893249) is an individual clinical provider in Fort Lauderdale, Florida, licensed in Florida (ISW19264) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1821893249
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAIDIAN BOUBACARCredential: MSW
Location Address1314 E LAS OLAS BLVD # 1590Fort Lauderdale, FL 33301-2334
Mailing Address1947 Nw 34th AveGainesville, FL 32605-2451 · (347) 400-1030
Phone(954) 560-4279
Fax(954) 522-5174
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1821893249 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 · ISW19264
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.
1314 E LAS OLAS BLVD # 1590, Fort Lauderdale, FL 33301
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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).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaidian Boubacar Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941773485
PECOS Enrollment IDI20260625002315
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.

Medicare Billing Reassignment

Medicare enrollment records show Kaidian Boubacar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
24 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33301 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

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

ELIZABETH ANNE VERMETTE
Social Worker (Clinical)
1314 E LAS OLAS BLVD # 1590
FORT LAUDERDALE, FL 33301
Broward County (954) 560-4297

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 Kaidian Boubacar's NPI number?

The NPI number for Kaidian Boubacar is 1821893249. It was assigned to this individual provider in the NPPES registry on February 18, 2025.

Where is Kaidian Boubacar located?

Kaidian Boubacar practices at 1314 E Las Olas Blvd # 1590, Fort Lauderdale, FL 33301. The listed phone number is (954) 560-4279.

What is Kaidian Boubacar's specialty?

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

Is Kaidian Boubacar enrolled in Medicare?

Yes. Kaidian Boubacar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaidian Boubacar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaidian Boubacar reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaidian Boubacar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaidian Boubacar accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kaidian Boubacar 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 Kaidian Boubacar was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.