NPIMap

Organization Active NPI

Paula Locke, LCSW, Cap, PA

Doing business as Total Intervention Early Services (TIES)

  • Clinical Social Worker
  • Lauderdale Lakes, FL
National Provider Identifier
1245469303
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PAULA LOCKE, LCSW, CAP, PA
Doing business as
Total Intervention Early Services (TIES)
Practice address
4699 N State Road 7
Suite P
Lauderdale Lakes, FL 33319-5879
Phone
(954) 234-2724
Fax
(954) 302-1830
NPI assigned
Jul 10, 2009
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Ms. Paula N Locke, LCSWNPI 1881889376
Title
License Clinical Social Worker
Phone
(754) 204-0312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X FL
Clinical Social Worker 1041C0700X FL Primary
Community Health Worker 172V00000X FL
Case Manager/Care Coordinator 171M00000X 761451900 FL
Case Manager/Care Coordinator 171M00000X FL

Addresses

Primary practice location

4699 N State Road 7
Suite P
Lauderdale Lakes, FL 33319-5879

Mailing address

9470 Live Oak PL
Suite 405
Davie, FL 33324-4769
Phone (754) 204-0312

Other identifiers 5

IdentifierTypeStateIssuer
001314200MedicaidFL
DJ386AOtherFLMEDICARE PTAN
761451900MedicaidFL
001867700MedicaidFL
002968700MedicaidFL

Other names 1

  • Total Intervention Early Services (TIES) Doing business as

National Provider Directory

National Provider Directory

Locations

4699 N State Road 7
Ste P
Lauderdale Lakes, FL 33319
Phone (954) 234-2724

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1245469303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 LIVE OAK PL",
            "address_2": "SUITE 405",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244769",
            "telephone_number": "754-204-0312",
            "fax_number": "954-302-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 N STATE ROAD 7",
            "address_2": "SUITE P",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195879",
            "telephone_number": "954-234-2724",
            "fax_number": "954-302-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA LOCKE, LCSW, CAP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "754-204-0312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "761451900",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001314200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DJ386A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761451900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001867700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002968700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Intervention Early Services (TIES)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.