Individual provider Active NPI

Mary Hearn Warren, LCSW

  • Clinical Social Worker
  • Davie, FL
National Provider Identifier
1205872892
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5568 Issued in FL
Practice address
3349 N University Dr
Suite 4
Davie, FL 33024-9000
Phone
(954) 885-9500
NPI assigned
Jun 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 5568 FL Primary

Addresses

Primary practice location

3349 N University Dr
Suite 4
Davie, FL 33024-9000

Mailing address

3349 N University Dr
Suite 4
Davie, FL 33024-9000
Phone (954) 885-9500

Other names 1

  • Mary Elizabeth Hearn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000470 FL Practitioner - Clinical Social Worker 5294754834 Reassigns benefits to 2 organizations
Practice locations: Lauderhill, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians

Practice addresses (Care Compare)

4001 W Hillsboro Blvd
Deerfield Beach, FL 33442-9408
Phone (786) 414-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 5568FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mtca Psychological Services P.a. CurrentSince May 1, 2022 Accepting new patients
Senior Living Memory Health, Inc. CurrentSince Feb 12, 2025 Accepting new patients
Cotler Healthcare & Development Inc. Past Accepting new patients

Locations

4001 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 288-4481

2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205872892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 N UNIVERSITY DR",
            "address_2": "SUITE 4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "330249000",
            "telephone_number": "954-885-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 N UNIVERSITY DR",
            "address_2": "SUITE 4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "330249000",
            "telephone_number": "954-885-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MARY",
        "middle_name": "HEARN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HEARN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.