Active NPI
Denise Genevie Lieberman, SLP-CFY
- Speech-Language Pathologist
- Sarasota, FL
National Provider Identifier
1598506008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ12111
- Practice address
- 1524 S East Ave
Sarasota, FL 34239-2324 - Phone
- (941) 365-2422
- NPI assigned
- Jun 6, 2024
- Last updated
- Aug 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | SZ12111 | FL | Primary |
Addresses
Primary practice location
1524 S East Ave
Sarasota, FL 34239-2324
Mailing address
1440 Pine Warbler PL Unit 10406
Sarasota, FL 34240-1553
Phone (818) 634-5079
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ12111 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1598506008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 PINE WARBLER PL UNIT 10406",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342401553",
"telephone_number": "818-634-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 S EAST AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392324",
"telephone_number": "941-365-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "DENISE",
"middle_name": "GENEVIE",
"name_prefix": "Mrs.",
"credential": "SLP-CFY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ12111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
- Ekaterina Leynzon, CRNA
- Amy Kathleen Lhote, CRNP
- Shan Liang, DOM, AP
- Liberty Senior Care LLC (Liberty Senior Care)
- Jennifer Lichon, DO
- Jennifer Lieberman, M.A., LMFT
- John A Lieurance, D.C., N.M.D
- Life Awaits Acupuncture
- Life Care Centers of America, Inc. (Life Care Center of Sarasota)
- Life Counseling Professional Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.