Active NPI
Lisa Allison Stern
- Clinical Social Worker
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15239
- Practice address
- 107 Tweedbrook LN
Hollywood, FL 33021-2981 - Phone
- (954) 383-7984
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- Sole proprietor
- No
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 | SW15239 | FL | Primary |
Addresses
Primary practice location
107 Tweedbrook LN
Hollywood, FL 33021-2981
Mailing address
107 Tweedbrook LN
Hollywood, FL 33021-2981
Phone (954) 383-7984
Other practice location 1
3800 W Broward Blvd
Fort Lauderdale, FL 33312-1018
Phone (954) 587-1008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508420530 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | aol.com |
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396
Phone (954) 533-2306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotler Healthcare & Development Inc. | Current | Accepting new patients | |
| A & B Counseling Services LLC | Current | Accepting new patients | |
| A & B Counseling LLC | Past | Accepting new patients |
Locations
440 Phippen Waiters Rd
Dania Beach, FL 33004
Phone (954) 924-0508
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
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.
-
- Adult Mental Health Clinic/Center
- Fort Lauderdale, FL
- NPI 1508327628
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
-
- In Home Supportive Care Agency
- Fort Lauderdale, FL
- NPI 1316400203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1508420530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 TWEEDBROOK LN",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212981",
"telephone_number": "954-383-7984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 TWEEDBROOK LN",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212981",
"telephone_number": "954-383-7984"
}
],
"practiceLocations": [
{
"address_1": "3800 W Broward Blvd",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333121018",
"country_code": "US",
"telephone_number": "954-587-1008",
"fax_number": "954-587-0080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERN",
"first_name": "LISA",
"middle_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508420530",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "aol.com",
"affiliation": "N",
"address_1": "107 Tweedbrook Ln",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330212981",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.