Individual provider Active NPI

Enid Brot, LCSW

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1609898725
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2051 Issued in FL
Practice address
100 S Pine Island Rd
Suite 230
Plantation, FL 33324-2613
Phone
(954) 370-2140
Fax
(954) 916-1252
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 SW2051 FL Primary

Addresses

Primary practice location

100 S Pine Island Rd
Suite 230
Plantation, FL 33324-2613

Mailing address

2475 Quail Roost Dr
Weston, FL 33327-1434
Phone (954) 384-7358

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW2051FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609898725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 QUAIL ROOST DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271434",
            "telephone_number": "954-384-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PINE ISLAND RD",
            "address_2": "SUITE 230",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242613",
            "telephone_number": "954-370-2140",
            "fax_number": "954-916-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROT",
        "first_name": "ENID",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.