Carly Stansell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15711 Issued in FL

Practice address

2301 Glades Rd Ste 700
Boca Raton, FL 33431-7397

Phone

(800) 600-4096

Fax

(866) 606-8885

NPI assigned

Jul 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 139 Education, LLC.

  dba Neurocore

  • Psychologist
  • Grandville, MI
  • NPI 1013294628
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1215389838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 OVERLOOK DR",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327669687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GLADES RD STE 700",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317397",
            "telephone_number": "800-600-4096",
            "fax_number": "866-606-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Overlook Dr",
            "address_purpose": "LOCATION",
            "city": "Chuluota",
            "state": "FL",
            "postal_code": "327669687",
            "country_code": "US",
            "telephone_number": "407-587-9606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANSELL",
        "first_name": "CARLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 10811",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Stamm
• Nikeda Stanback
• Stand Up MRI of Boca Raton Inc
• Eli Stankee, PTA
• Stanley Gusman RPT,PA
• Shawn Christian Stanton
• Patrizio M Stanziano, MPT
• Michael Vincent Stanzione, DPT
• Star Care Health Providers of America PLLC
• Star Medical FL PLLC (InFocus Eyecare)

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, 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 Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.