Active NPI
Liliane Souto
- Clinical Social Worker
- Lehigh Acres, FL
National Provider Identifier
1003668005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4109 18TH St SW
Lehigh Acres, FL 33976-3206 - Phone
- (239) 243-7768
- NPI assigned
- Apr 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
4109 18TH St SW
Lehigh Acres, FL 33976-3206
Mailing address
4109 18TH St SW
Lehigh Acres, FL 33976-3206
Phone (239) 243-7768
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1003668005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 18TH ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339763206",
"telephone_number": "239-243-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 18TH ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339763206",
"telephone_number": "239-243-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTO",
"first_name": "LILIANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
- Soul Ari Wellness Health Care LLC
- Soul Ari Wellness Health Care LLC
- Sounds of Hope Speech & Language Services Corp
- South Florida Ear Nose and Throat PLLC
- Southwest Florida Spine and Joint Inc
- Latasha T Spears
- Specific Care Chiropractic Inc
- Spectrum Speech Therapy, Inc
- Spectrum World LLC
- Alan E Spinner, DC PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.