Active NPI
Nancy Maccoll, LMSW
- Clinical Social Worker
- Oakland Park, FL
National Provider Identifier
1689869752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11011
- Practice address
- 4849 N Dixie Hwy
Suite 105
Oakland Park, FL 33334-3928 - Phone
- (954) 226-9585
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SW11011 | FL | Primary |
Addresses
Primary practice location
4849 N Dixie Hwy
Suite 105
Oakland Park, FL 33334-3928
Mailing address
4849 N Dixie Hwy
Suite 105
Oakland Park, FL 33334-3928
Phone (954) 226-9585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244019 | Medicaid | NY | |
| 009804200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4849 N Dixie Hwy
Suite 105
Oakland Park, FL 33334-3928
Phone (954) 226-9585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW11011 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy Maccoll, L.C.S.W., LLC | Clinical | Current | Accepting new patients |
| Broward House, Inc. | Past | Accepting new patients |
Locations
4849 N Dixie Hwy
Ste 105
Oakland Park, FL 33334
Phone (954) 226-9585
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Oakland Park, FL
- NPI 1245624089
-
- Case Management Agency
- Fort Lauderdale, FL
- NPI 1730514860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464998400000",
"number": "1689869752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 N DIXIE HWY",
"address_2": "SUITE 105",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333343928",
"telephone_number": "954-226-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 N DIXIE HWY",
"address_2": "SUITE 105",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333343928",
"telephone_number": "954-226-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACCOLL",
"first_name": "NANCY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2016-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00244019",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009804200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; 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.