Individual provider Active NPI

Marlana Staats

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1245897818
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
333 Las Olas Way Ste 441
Fort Lauderdale, FL 33301-2884
Phone
(561) 809-1830
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 Primary

Addresses

Primary practice location

333 Las Olas Way Ste 441
Fort Lauderdale, FL 33301-2884

Mailing address

333 Las Olas Way Ste 441
Fort Lauderdale, FL 33301-2884

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
I20200131000306 FL Practitioner - Clinical Social Worker 6103252689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Stanley and Pearl Goodman JFS of Broward County IncGroup PAC ID 1850352618, 4 clinicians

Practice addresses (Care Compare)

5890 S Pine Island Rd
Suite 201
Davie, FL 33328-5936
Phone (954) 370-2140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Connection Consultants Current Accepting new patients

Locations

333 Las Olas Way
Ste 441
Fort Lauderdale, FL 33301
Phone (561) 809-1830

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1245897818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAS OLAS WAY STE 441",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAS OLAS WAY STE 441",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012884",
            "telephone_number": "561-809-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAATS",
        "first_name": "MARLANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.