Maron Sabol, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17597 Issued in FL

Practice address

20 Lake Wire Dr
Ste 181
Lakeland, FL 33815-1519

Phone

(863) 398-9624

Fax

(863) 683-5677

NPI assigned

Jul 8, 2020

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: maron.sabol.1@30520.direct.athenahealth.com

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1639797582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LAKE WIRE DR",
            "address_2": "STE 181",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338151519",
            "telephone_number": "813-679-4055",
            "fax_number": "863-683-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LAKE WIRE DR",
            "address_2": "STE 181",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338151519",
            "telephone_number": "863-398-9624",
            "fax_number": "863-683-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5604 Morley Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761332206",
            "country_code": "US",
            "telephone_number": "813-679-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABOL",
        "first_name": "MARON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59756",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S. Matthew Schacht DDS, PA
• Sa-Lakeland, LLC (Palm Terrace of Lakeland)
• Paul Stanford Saari, DDS
• Michael Sabina, DO
• Cassandra Lynn Sabol, IMHC
• Patricia Lynn Sabol, L.M.H.C
• Donald C Sachs, MD
• Louis Stephen Saco, MD
• Morteza Sadeh, MD
• Reham A Sadek, MD

• Clinical Social Worker in Lakeland, FL
• Providers in Lakeland, 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 Feb 4, 2021; 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.