Dorothy Lynn Maben, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14963 Issued in FL

Practice address

5755 E Milton Rd
Milton, FL 32583-7913

Phone

(850) 983-1129

NPI assigned

Jun 12, 2018

Last updated

Feb 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• A & B Counseling LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
  • NPI 1316400203
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1083107155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA ROSA COUNTY JAIL/WELLPATH",
            "address_2": "5755 E. MILTON ROAD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "32583",
            "telephone_number": "850-983-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 E MILTON RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325837913",
            "telephone_number": "850-983-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5755 E Milton Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325837913",
            "country_code": "US",
            "telephone_number": "850-983-1129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABEN",
        "first_name": "DOROTHY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longevity Primary Care LLC
• Donna Renee Lowe
• Lisa Lowery, LMHC, BCBA
• Christina Lundy
• Jessica Rene' Lunsford
• Nicole Renee Mahute, RPH
• Cynthia Maillet, RN
• Gloria Margarita Malpica Hamilton, FNP-C
• Carl Maltese, ARNP
• Annalisa Hope Marcantonio, LCSW

• Clinical Social Worker in Milton, FL
• Providers in Milton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.