Individual provider Active NPI

Bryan T Aston Jr., LCSW

  • Clinical Social Worker
  • Coconut Creek, FL
National Provider Identifier
1003342338
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089566 Issued in NY
Practice address
5300 NW 55TH Blvd Apt 308
Coconut Creek, FL 33073-3785
Phone
(917) 485-9664
NPI assigned
May 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089566 NY Primary

Addresses

Primary practice location

5300 NW 55TH Blvd Apt 308
Coconut Creek, FL 33073-3785

Mailing address

5300 NW 55TH Blvd Apt 308
Coconut Creek, FL 33073-3785
Phone (917) 485-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
089566NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1003342338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 NW 55TH BLVD APT 308",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733785",
            "telephone_number": "917-485-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 NW 55TH BLVD APT 308",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733785",
            "telephone_number": "917-485-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTON",
        "first_name": "BRYAN",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.