Individual provider Active NPI

Lamora D Pace, LCSW

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1669603221
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9459 Issued in FL
Practice address
2500 Hollywood Blvd Ste 103
Hollywood, FL 33020-6615
Phone
(754) 777-6871
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP ADC-001430-2014 FL
Case Management Agency 251B00000X FL
Clinical Social Worker 1041C0700X SW9459 FL Primary

Addresses

Primary practice location

2500 Hollywood Blvd Ste 103
Hollywood, FL 33020-6615

Mailing address

2500 Hollywood Blvd Ste 103
Hollywood, FL 33020-6615
Phone (754) 777-6871

Other names 1

  • Mrs. Lamora D Pace Professional name

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
CAP ADC-001430-2014FLMDAddiction (Substance Use Disorder) Counselor
SW9459FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Obstacles 2 Opportunities Inc Addiction (Substance Use Disorder) Current Accepting new patients

Locations

2500 Hollywood Blvd
Ste 410
Hollywood, FL 33020
Phone (754) 260-1367

2131 Hollywood Blvd
Ste 405
Hollywood, FL 33020
Phone (754) 777-6871

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1669603221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOLLYWOOD BLVD STE 103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206615",
            "telephone_number": "754-777-6871",
            "fax_number": "965-906-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOLLYWOOD BLVD STE 103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206615",
            "telephone_number": "754-777-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "LAMORA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP ADC-001430-2014",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAMORA",
            "last_name": "PACE",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "LCSW, CAP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.