Debra J Tantillo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5538 Issued in FL

Practice address

6750 N Andrews Ave Ste 200
Fort Lauderdale, FL 33309-2180

Phone

(954) 732-5418

Fax

(954) 772-1023

NPI assigned

Aug 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Complete Counseling Group, Inc.

  • Clinical Social Worker
  • Fort Lauderdale, FL
  • NPI 1710009873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1376822981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NW 46TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333094010",
            "telephone_number": "954-732-5418",
            "fax_number": "954-772-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N ANDREWS AVE STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092180",
            "telephone_number": "954-732-5418",
            "fax_number": "954-772-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTILLO",
        "first_name": "DEBRA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry S Taney, MD
• Luciano Tanfulla, M.D.
• Tango Dental PA
• Kacee Elaine Tannenbaum, LCSW
• Nancy Kathleen Tanner, LCSW
• Anthony Vincent Taouk Helou, RBT
• Edna Carolina Tapia
• Ruben Tapia, MD
• Noor Aesheh Taraben, RD
• Stephanie Tarafdar, PHD LMHC

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.