Active NPI
Jackie Deon Lamons, LCSW
- Clinical Social Worker
- Hallandale Beach, FL
National Provider Identifier
1104366152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12290
- Practice address
- 205 NW 8TH Ave
Apt 202
Hallandale Beach, FL 33009-3906 - Phone
- (786) 387-4777
- NPI assigned
- Feb 23, 2017
- 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 | 12290 | FL | Primary |
Addresses
Primary practice location
205 NW 8TH Ave
Apt 202
Hallandale Beach, FL 33009-3906
Mailing address
18441 NW 2ND Ave Ste 116
Miami, FL 33169-4571
Phone (786) 267-5462
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 |
|---|---|---|---|
| 12290 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1104366152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18441 NW 2ND AVE STE 116",
"city": "MIAMI",
"state": "FL",
"postal_code": "331694571",
"telephone_number": "786-267-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 NW 8TH AVE",
"address_2": "APT 202",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093906",
"telephone_number": "786-387-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMONS",
"first_name": "JACKIE",
"middle_name": "DEON",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-23",
"last_updated": "2021-07-29",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "12290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.