Individual provider Active NPI

Dylan Stovall, LCSW

  • Clinical Social Worker
  • Defuniak Springs, FL
National Provider Identifier
1306591375
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20407 Issued in FL
Practice address
247 S 20TH St
Defuniak Springs, FL 32435-2201
Phone
(850) 842-6573
NPI assigned
Feb 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW14023 FL
Clinical Social Worker 1041C0700X SW20407 FL Primary

Addresses

Primary practice location

247 S 20TH St
Defuniak Springs, FL 32435-2201

Mailing address

247 S 20TH St
Defuniak Springs, FL 32435-2201
Phone (850) 842-6573

Other names 1

  • Delilah Stovall Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221209002006 FL Practitioner - Clinical Social Worker 3274902465 Reassigns benefits to 1 organization
I20250925000392 WI Practitioner - Clinical Social Worker 3274902465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW14023FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Escambia Community Clinics Inc Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 12, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1306591375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S 20TH ST",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324352201",
            "telephone_number": "850-842-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S 20TH ST",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324352201",
            "telephone_number": "850-842-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "DYLAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-17",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW14023",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELILAH",
            "last_name": "STOVALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Defuniak Springs, FL

Sources for this page

Verify at the official NPI Registry.