Individual provider Active NPI

Aubriona Stull, LCSW

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1053291294
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW16255 Issued in FL
Practice address
502 NE 23Rd St
Wilton Manors, FL 33305-1123
Phone
(724) 624-2765
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C018511 NC
Clinical Social Worker 1041C0700X ISW16255 FL Primary

Addresses

Primary practice location

502 NE 23Rd St
Wilton Manors, FL 33305-1123

Mailing address

502 NE 23Rd St
Wilton Manors, FL 33305-1123
Phone (724) 624-2765

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
I20251218001351 FL Practitioner - Clinical Social Worker 3375038284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindy Staum LCSW PAGroup PAC ID 5890952998, 16 clinicians

Practice addresses (Care Compare)

5421 N University Dr
Suite 102
Coral Springs, FL 33067-4638
Phone (732) 580-8383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW16255FLMDClinical Social Worker
C018511NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindy Staum, LCSW, P.a Clinical CurrentSince Nov 11, 2025 Accepting new patients

Locations

5421 N University Dr
Ste 102
Coral Springs, FL 33067
Phone (732) 580-8383

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1053291294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 NE 23RD ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051123",
            "telephone_number": "724-624-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 NE 23RD ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051123",
            "telephone_number": "724-624-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "AUBRIONA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018511",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW16255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.