Bruce L. Stafford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0001618 Issued in FL

Practice address

631 North Hyer Av
Orlando, FL 32803-4629

Phone

(407) 648-9118

Fax

(407) 865-5432

NPI assigned

Mar 5, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Renee Natvig, LLC

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1689283194
  NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1083743132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 NORTH HYER AV",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034629",
            "telephone_number": "407-648-9118",
            "fax_number": "407-865-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 NORTH HYER AV",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034629",
            "telephone_number": "407-648-9118",
            "fax_number": "407-865-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BRUCE",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0001618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Stacey
• Linda Ann Stachowiak, MS/CCCSLP BRS-S
• Christopher Alexander Staczek, CRNA
• Samantha Stadlbaur, MD
• Anthony Mark Staffa, ATC, LAT
• Raymond Stafford
• Trina Stage
• Jennifer Staggs, APRN
• Terry Staggs
• Danielle Deleon Stagni, RDN, LDN

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, 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 Jul 13, 2012; 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.