William Royall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5156 Issued in FL

Practice address

6601 Memorial Hwy
Suite 107
Tampa, FL 33615-4501

Phone

(813) 433-1987

NPI assigned

Mar 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 and National Provider Directory roles.

• Psychological Management Group, PA

  • Counseling Psychologist
  • Tampa, FL
  • NPI 1144384264
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1083731863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY",
            "address_2": "SUITE 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-433-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY",
            "address_2": "SUITE 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-433-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYALL",
        "first_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP NUMBER",
            "identifier": "1013902956",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088345003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royal Palm Beach Rehab, Corp (Action Physical Therapy)
• Royal Palm Beach Rehab, Corp. (Action Physical Therapy)
• Royal Palm Orthopedics Sports Medicine and Institute
• Royal RX Pharmacy Inc
• Nadabe Royal
• Royalty Renovations Inc Dba
• Deborah Royse
• Nicole C Rozario, AGNP-C
• Carlos J Rozas, MD
• Daniel A Rozas, MD

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, 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 Jan 17, 2014; 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.