Active NPI
Lee Stanko, MSW
- Social Worker
- Saint Petersburg, FL
National Provider Identifier
1376181594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW11122
- Practice address
- 1700 Park St N Ste 109
Saint Petersburg, FL 33710-4300 - Phone
- (941) 623-3818
- NPI assigned
- Dec 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW11122 | FL | Primary |
Addresses
Primary practice location
1700 Park St N Ste 109
Saint Petersburg, FL 33710-4300
Mailing address
2264 Black Oak CT
Sarasota, FL 34232-4357
Phone (941) 623-3818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW11122 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1376181594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2264 BLACK OAK CT",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342324357",
"telephone_number": "941-623-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PARK ST N STE 109",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337104300",
"telephone_number": "941-623-3818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANKO",
"first_name": "LEE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW11122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.