Active NPI
Lorraine Coleen Andy, LCSW
- Clinical Social Worker
- Pompano Beach, FL
National Provider Identifier
1639370786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW7706
- Practice address
- 1600 S Federal Hwy
Suite #202
Pompano Beach, FL 33062-7500 - Phone
- (954) 946-6707
- Fax
- (954) 941-9264
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW7706 | FL | Primary |
Addresses
Primary practice location
1600 S Federal Hwy
Suite #202
Pompano Beach, FL 33062-7500
Mailing address
1600 S Federal Hwy
Suite #202
Pompano Beach, FL 33062-7500
Phone (954) 946-6707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z095N | Other | FL | BLUE CROSS BLUE SHILED # |
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 |
|---|---|---|---|
| SW7706 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639370786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S FEDERAL HWY",
"address_2": "SUITE #202",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627500",
"telephone_number": "954-946-6707",
"fax_number": "954-941-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S FEDERAL HWY",
"address_2": "SUITE #202",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627500",
"telephone_number": "954-946-6707",
"fax_number": "954-941-9264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDY",
"first_name": "LORRAINE",
"middle_name": "COLEEN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHILED #",
"identifier": "Z095N",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.