Individual provider Active NPI

Marylynn CZ CZ, BSW

  • Social Worker
  • North Port, FL
National Provider Identifier
1669865929
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
12497 Tamiami TRL S
Suite 4
North Port, FL 34287-1447
Phone
(941) 492-4300
Fax
(941) 492-2170
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

12497 Tamiami TRL S
Suite 4
North Port, FL 34287-1447

Mailing address

313 8TH St
Nokomis, FL 34275-1554
Phone (352) 726-3726

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

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1669865929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 8TH ST",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342751554",
            "telephone_number": "352-726-3726",
            "fax_number": "941-492-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12497 TAMIAMI TRL S",
            "address_2": "SUITE 4",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871447",
            "telephone_number": "941-492-4300",
            "fax_number": "941-492-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZ",
        "first_name": "MARYLYNN CZ",
        "name_prefix": "Ms.",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.