Lisaimy Mallo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18143 Issued in FL

Practice address

1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400

Phone

(954) 561-6222

Fax

(954) 990-7650

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ventre Medical Associates LLCGroup PAC ID 5496931586, 72 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

52.48 of 100Reported as group

Quality

9.18

Improvement activities

40

Cost

76.3

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Ventre Medical Associates LLC

  • Psychiatry Physician
  • Oakland Park, FL
  • NPI 1073818183

  Clinical

  Medicare reassignment Care Compare group NPD
• Ventre Medical Associates, LLC

  • Psychiatry Physician
  • South Miami, FL
  • NPI 1558038927

  Clinical

  NPD
• Ventre Medical Associates LLC

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1427713338

  Clinical

  NPD (past)

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1659959294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E OAKLAND PARK BLVD STE 210",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344400",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E OAKLAND PARK BLVD STE 210",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344400",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7261 Sheridan St Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330242708",
            "country_code": "US",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7369 Sheridan St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330242776",
            "country_code": "US",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Camino Real Ste 201",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334335511",
            "country_code": "US",
            "telephone_number": "561-674-0885",
            "fax_number": "561-674-0856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 SW 74th St Ste 408",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435164",
            "country_code": "US",
            "telephone_number": "305-735-3555",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLO",
        "first_name": "LISAIMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110326600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Maceda, OT
• Tom Macek, MD
• Doug Maesk, LMHC
• Erika S Magarian, ARNP
• Kenneth Maller, O.D.
• Fernando Jacinto Manalac Jr., M.D.
• Melissa S Mancini
• Jason Scott Mann, O.D.
• Michael Garrett Mann, OD
• Robert E Mann

• Clinical Social Worker in Oakland Park, FL
• Providers in Oakland Park, 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 Jan 16, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.