Individual provider Active NPI

Lynn Rose Spinner

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1063470797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0001677 Issued in FL
Practice address
2699 Stirling Rd
Suite A106
Fort Lauderdale, FL 33312-6517
Phone
(954) 983-2030
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW0001677 FL Primary

Addresses

Primary practice location

2699 Stirling Rd
Suite A106
Fort Lauderdale, FL 33312-6517

Mailing address

3141 N 52ND Ave
Hollywood, FL 33021-2329

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
I20190320003035 FL Practitioner - Clinical Social Worker 4486810017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Family Therapy, Inc.Group PAC ID 8123284759, 2 clinicians

Practice addresses (Care Compare)

6175 NW 153Rd St
Suite 404
Miami Lakes, FL 33014-2435
Phone (305) 558-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0001677FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Family Therapy Inc Clinical CurrentSince Aug 22, 2018 Accepting new patients

Locations

2699 Stirling Rd
Ste A106
Ft Lauderdale, FL 33312
Phone (954) 391-5516

2699 Stirling Rd
Ste C105
Ft Lauderdale, FL 33312
Phone (954) 696-9750

6175 NW 153rd St
Ste 404
Miami Lakes, FL 33014
Phone (305) 558-7400

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063470797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 N 52ND AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE A106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-983-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINNER",
        "first_name": "LYNN",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0001677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.