Individual provider Active NPI

Alison Hope Miransky, LCSW

  • Clinical Social Worker
  • Ft Lauderdale, FL
National Provider Identifier
1033749577
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16949 Issued in FL
Practice address
1906 SW 6TH Ave
Ft Lauderdale, FL 33315-2001
Phone
(954) 728-2454
Fax
(954) 603-2612
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 SW16949 FL Primary

Addresses

Primary practice location

1906 SW 6TH Ave
Ft Lauderdale, FL 33315-2001

Mailing address

1931 Cordova Rd Ste 171
Fort Lauderdale, FL 33316-2157
Phone (954) 728-2454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200506000430 FL Practitioner - Clinical Social Worker 6103983523 Practice locations: Ft Lauderdale, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1906 SW 6TH Ave
Fort Lauderdale, FL 33315-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1033749577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 CORDOVA RD STE 171",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162157",
            "telephone_number": "954-728-2454",
            "fax_number": "954-603-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 SW 6TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152001",
            "telephone_number": "954-728-2454",
            "fax_number": "954-603-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANSKY",
        "first_name": "ALISON",
        "middle_name": "HOPE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.