Individual provider Active NPI

Lillian Stoyanovich, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1497945414
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
#SW 8733 Issued in FL
Practice address
2221 NE 62ND St
Fort Lauderdale, FL 33308-2205
Phone
(954) 298-0761
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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 #SW 8733 FL Primary

Addresses

Primary practice location

2221 NE 62ND St
Fort Lauderdale, FL 33308-2205

Mailing address

2221 NE 62ND St
Fort Lauderdale, FL 33308-2205
Phone (954) 298-0761

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
#SW 8733FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1497945414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 NE 62ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082205",
            "telephone_number": "954-298-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 NE 62ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082205",
            "telephone_number": "954-298-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOYANOVICH",
        "first_name": "LILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "#SW 8733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.