Active NPI
William Flores, LCSW/CAP
- Clinical Social Worker
- Lakeland, FL
National Provider Identifier
1104168640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11020
- Practice address
- 7334 Beaumont Dr
Lakeland, FL 33810-2216 - Phone
- (863) 797-9163
- Fax
- (963) 937-4069
- NPI assigned
- Mar 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW11020 | FL | Primary |
Addresses
Primary practice location
7334 Beaumont Dr
Lakeland, FL 33810-2216
Mailing address
7334 Beaumont Dr
Lakeland, FL 33810-2216
Phone (863) 797-9163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW11020 | Other | FL | LISCENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW11020 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1104168640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7334 BEAUMONT DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338102216",
"telephone_number": "863-797-9163",
"fax_number": "963-937-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7334 BEAUMONT DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338102216",
"telephone_number": "863-797-9163",
"fax_number": "963-937-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "WILLIAM",
"credential": "LCSW/CAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-22",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE",
"identifier": "SW11020",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.