Stacey Mednick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10834 Issued in FL

Practice address

577 NW 120TH Dr
Coral Springs, FL 33071-4029

Phone

(619) 977-5038

NPI assigned

Mar 28, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joel I Kimmel PHD PA

  • Clinical Psychologist
  • Coral Springs, FL
  • NPI 1922179746
  Medicare reassignment NPD
• A Life You Love LLC

  • Clinical Social Worker
  • Coral Springs, FL
  • NPI 1346660057
  NPD (past) Authorized official

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1548687478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 NW 120TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714029",
            "telephone_number": "619-977-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 NW 120TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714029",
            "telephone_number": "619-977-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDNICK",
        "first_name": "STACEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Risk Solutions LLC
• Medical Supply Store #1
• Cherise Marie Medina, OTT
• Medlift Supply Inc
• Mednet Inc
• Francis F Medranda, FNP-BC
• Mefl, LLC (Miracle-Ear)
• Mehe Care LLC
• Jessica Mehsikomer, PTA
• Meier Orthodontics Coral Springs PLLC (Children's Dentistry of Coral Springs)

• Clinical Social Worker in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.