Healthcare Provider Details

I. General information

NPI: 1942147046
Provider Name (Legal Business Name): CHAYA FEDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15200 S JOG RD STE 303
DELRAY BEACH FL
33446-1249
US

IV. Provider business mailing address

7145 VIA FIRENZE
BOCA RATON FL
33433-1044
US

V. Phone/Fax

Practice location:
  • Phone: 954-871-2880
  • Fax:
Mailing address:
  • Phone: 561-757-1177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW23123
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: