Mary Len I, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW16757 Issued in FL

Practice address

1500 Lake Buffum Rd E
Fort Meade, FL 33841-9560

Phone

(716) 472-0306

NPI assigned

Aug 6, 2014

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1407265226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LAKE BUFFUM RD E",
            "city": "FORT MEADE",
            "state": "FL",
            "postal_code": "338419560",
            "telephone_number": "716-472-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAKE BUFFUM RD E",
            "city": "FORT MEADE",
            "state": "FL",
            "postal_code": "338419560",
            "telephone_number": "716-472-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEN",
        "first_name": "MARY",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082066-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ft Meade Community Pharmacy Inc (Ft Meade Comm Phcy Inc)
• Gladys A Gaines
• Gye Nyame Wellness Centre
• Gye Nyame Wellness Centre, LLC
• Roger G Haag, DC
• Steven McKenzy, PH.D
• Patricia Darlene Parker, APRN-A
• Alner Miguel Quinonez, M.D.
• Renova by Design, LLC
• Reba Leeann Scott, DOULA

• Clinical Social Worker in Fort Meade, FL
• Providers in Fort Meade, 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 Jan 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.