Individual provider Active NPI

Patricia Stauber, LCSW

  • Clinical Social Worker
  • Miami Beach, FL
National Provider Identifier
1316962657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5926 Issued in FL
Practice address
1521 Alton Rd
Suite 166
Miami Beach, FL 33139-3301
Phone
(305) 710-7894
Fax
(305) 532-7651
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW5926 FL Primary

Addresses

Primary practice location

1521 Alton Rd
Suite 166
Miami Beach, FL 33139-3301

Mailing address

1521 Alton Rd
Suite 166
Miami Beach, FL 33139-3301
Phone (305) 710-7894

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
I20130802000753 FL Practitioner - Clinical Social Worker 4587805577 Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316962657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 ALTON RD",
            "address_2": "SUITE 166",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393301",
            "telephone_number": "305-710-7894",
            "fax_number": "305-532-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 ALTON RD",
            "address_2": "SUITE 166",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393301",
            "telephone_number": "305-710-7894",
            "fax_number": "305-532-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUBER",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.