Organization Active NPI

Stacy Sarnoff, LCSW, PA

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1033408315
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3731 Issued in FL
Legal business name
STACY SARNOFF, LCSW, PA
Practice address
1515 N University Dr
Suite 113
Coral Springs, FL 33071-6096
Phone
(954) 796-7080
Fax
(954) 340-0738
NPI assigned
Apr 7, 2011
Last updated
Apr 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Ms. Stacy Beth Sarnoff, LCSWNPI 1710179452
Title
Therapist
Phone
(954) 796-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3731 FL Primary

Addresses

Primary practice location

1515 N University Dr
Suite 113
Coral Springs, FL 33071-6096

Mailing address

1515 N University Dr
Suite 113
Coral Springs, FL 33071-6096
Phone (954) 796-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130509000417 FL Part B Supplier - Clinic/Group Practice 9537306659 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL; Margate, FL; Parkland, FL; Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

1515 N University Dr
Ste 113
Coral Springs, FL 33071
Phone (954) 796-7080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1033408315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N UNIVERSITY DR",
            "address_2": "SUITE 113",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716096",
            "telephone_number": "954-796-7080",
            "fax_number": "954-340-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N UNIVERSITY DR",
            "address_2": "SUITE 113",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716096",
            "telephone_number": "954-796-7080",
            "fax_number": "954-340-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY SARNOFF, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "SARNOFF",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "954-796-7080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.