Individual provider Active NPI

Lauren Thomas, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1316558984
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16922 Issued in FL
Practice address
3800 W Broward Blvd # 100
Fort Lauderdale, FL 33312-1018
Phone
(239) 699-2817
NPI assigned
Aug 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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
Clinical Social Worker 1041C0700X 16922 FL Primary

Addresses

Primary practice location

3800 W Broward Blvd # 100
Fort Lauderdale, FL 33312-1018

Mailing address

3800 W Broward Blvd # 100
Fort Lauderdale, FL 33312-1018

Other practice location 1

3800 W Broward Blvd # 100
Fort Lauderdale, FL 33312-1018
Phone (239) 699-2817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230520000272 MI Practitioner - Clinical Social Worker 0547626319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida Atlantic University, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Mind Counseling, LLCGroup PAC ID 6406233220, 8 clinicians

Practice addresses (Care Compare)

135 N Old Woodward Ave
Suite 200
Birmingham, MI 48009-3341
Phone (707) 815-0374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16922FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Mind Counseling, LLC Clinical CurrentSince Apr 16, 2023 Accepting new patients

Locations

135 N Old Woodward Ave
Ste 200
Birmingham, MI 48009
Phone (707) 815-0374

Organizations & group practices 1

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": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1316558984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W BROWARD BLVD # 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W BROWARD BLVD # 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121018",
            "telephone_number": "239-699-2817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 W Broward Blvd # 100",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333121018",
            "country_code": "US",
            "telephone_number": "239-699-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.