Nancy Maccoll, L.C.S.W., LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11011 Issued in FL

Legal business name

NANCY MACCOLL, L.C.S.W., LLC

Practice address

1400 E Oakland Park Blvd
100
Oakland Park, FL 33334-4400

Phone

(954) 226-9585

NPI assigned

Mar 18, 2015

Last updated

Apr 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy MaccollNPI 1689869752

Title

Owner/President

Phone

(954) 226-9585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Nancy Maccoll, LMSW

  • Clinical Social Worker
  • Oakland Park, FL
  • NPI 1689869752
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1245624089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 ENVIRON BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194280",
            "telephone_number": "954-226-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E OAKLAND PARK BLVD",
            "address_2": "100",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344400",
            "telephone_number": "954-226-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY MACCOLL, L.C.S.W., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "MACCOLL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-226-9585"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Oakland Park, FL
• Providers in Oakland Park, 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 Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.