Individual provider Active NPI

Paul L Hyman, LCSW

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1467501262
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6837 Issued in FL
Practice address
1881 NE 26TH St Ste 221
Wilton Manors, FL 33305
Phone
(954) 552-2855
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 SW6837 FL Primary

Addresses

Primary practice location

1881 NE 26TH St Ste 221
Wilton Manors, FL 33305

Mailing address

PO Box 4722
Fort Lauderdale, FL 33338-4722
Phone (954) 552-2855

Other practice location 1

915 Middle River Dr Ste 307
Fort Lauderdale, FL 33304-3560
Phone (954) 566-2166 ext. 201

Other identifiers 1

IdentifierTypeStateIssuer
Z027WOtherFLBCBS

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
I20210115000663 FL Practitioner - Clinical Social Worker 6608289442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6837FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Hyman LCSW LLC Clinical CurrentSince Aug 6, 2019 Accepting new patients
Doctor on Demand Professionals P C CurrentSince Oct 15, 2020 Accepting new patients
Bill Bracker, PSYD, LLC PastSince Aug 6, 2019 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233

1881 NE 26th St
Ste 221
Wilton Manors, FL 33305
Phone (954) 418-1471

3033 Campus Dr
Ste W225
Plymouth, MN 55441
Phone (415) 429-6977

Interoperability endpoints

  • Direct secure messaging: paul.hyman.1@30520.direct.athenahealth.com

Organizations & group practices 3

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1467501262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4722",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333384722",
            "telephone_number": "954-552-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 221",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-552-2855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Middle River Dr Ste 307",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333043560",
            "country_code": "US",
            "telephone_number": "954-566-2166 x201",
            "fax_number": "954-566-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYMAN",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z027W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.