Individual provider Active NPI

Lisa Allison Stern

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1508420530
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15239 Issued in FL
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

Updated by the provider on May 10, 2022

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 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

IdentifierTypeStateIssuer
1508420530MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911003272 FL Practitioner - Clinical Social Worker 6800125188 Reassigns benefits to 2 organizations

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
A and B Counseling Services LLCGroup PAC ID 6103152269, 73 clinicians

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

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. CurrentSince Jul 15, 2019 Accepting new patients
A & B Counseling Services LLC CurrentSince Sep 1, 2019 Accepting new patients
A & B Counseling LLC PastSince Sep 1, 2019 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.

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

Verify at the official NPI Registry.