Active NPI
Liam Thomas Mugavin, LCSW
- Clinical Social Worker
- Wilton Manors, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22308
- Practice address
- 520 NE 20TH St Apt 1001
Wilton Manors, FL 33305-2160 - Phone
- (786) 708-1229
- NPI assigned
- Nov 3, 2021
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22308 | FL | Primary |
Addresses
Primary practice location
520 NE 20TH St Apt 1001
Wilton Manors, FL 33305-2160
Mailing address
520 NE 20TH St Apt 1001
Wilton Manors, FL 33305-2160
Phone (786) 708-1229
Other practice location 1
66 W Flagler St Ste 900
Miami, FL 33130-1807
Phone (786) 244-7711
Other practice location 2
66 W Flagler St Ste 900
Miami, FL 33130-1807
Phone (646) 941-7645
Other names 1
- Taylor C. Mugavin
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22308 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1447915624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 NE 20TH ST APT 1001",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333052160",
"telephone_number": "786-708-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 NE 20TH ST APT 1001",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333052160",
"telephone_number": "786-708-1229"
}
],
"practiceLocations": [
{
"address_1": "66 W Flagler St Ste 900",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331301807",
"country_code": "US",
"telephone_number": "786-244-7711",
"fax_number": "954-480-1784",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "66 W Flagler St Ste 900",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331301807",
"country_code": "US",
"telephone_number": "646-941-7645",
"fax_number": "929-596-7897",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUGAVIN",
"first_name": "LIAM",
"middle_name": "THOMAS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "U",
"enumeration_date": "2021-11-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "22308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "MUGAVIN",
"middle_name": "C.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.