Individual provider Active NPI

Maryjo Hoard, LCSW

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1518995257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 184 Issued in FL
Practice address
1600 S Orlando Ave
Winter Park, FL 32789-5547
Phone
(407) 644-4692
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 184 FL Primary

Addresses

Primary practice location

1600 S Orlando Ave
Winter Park, FL 32789-5547

Mailing address

3323 Gulfstream Rd
Orlando, FL 32805-5828
Phone (407) 423-5291

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
I20250630004023 FL Practitioner - Clinical Social Worker 7618480914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Counseling Services, Inc.Group PAC ID 2365968872, 8 clinicians

Practice addresses (Care Compare)

1505 Orchid Ave
Winter Park, FL 32789-5649
Phone (407) 644-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 184FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Counseling Services, Inc. CurrentSince May 1, 2025 Accepting new patients
Lutheran Counseling Services Clinical PastSince May 1, 2025 Accepting new patients

Locations

1505 Orchid Ave
Winter Park, FL 32789
Phone (407) 644-4692

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518995257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 GULFSTREAM RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328055828",
            "telephone_number": "407-423-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895547",
            "telephone_number": "407-644-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOARD",
        "first_name": "MARYJO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.