Individual provider Active NPI

Michael Roisman, LCSW

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1699264184
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17581 Issued in FL
Practice address
4000 Hollywood Blvd Ste 715
Hollywood, FL 33021-6755
Phone
(833) 769-3524
NPI assigned
May 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADC-009399-2015 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X 804596 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X 16360816 FL
Clinical Social Worker 1041C0700X SW17581 FL Primary

Addresses

Primary practice location

4000 Hollywood Blvd Ste 715
Hollywood, FL 33021-6755

Mailing address

4000 Hollywood Blvd Ste 715
Hollywood, FL 33021-6755
Phone (833) 769-3524

Other practice location 1

7520 SW 57th Ave Ste D
South Miami, FL 33143-5330
Phone (305) 710-5288

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030001213 FL Practitioner - Clinical Social Worker 9931555836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians
Citrus Health Network, Inc.Group PAC ID 9931177334, 49 clinicians

Practice addresses (Care Compare)

4000 Hollywood Blvd
Hollywood, FL 33021-6751
Phone (754) 209-1880

4125 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 424-3120

4175 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 825-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16360816FLMDAddiction (Substance Use Disorder) Counselor
804596FLMDAddiction (Substance Use Disorder) Counselor
ADC-009399-2015FLMDAddiction (Substance Use Disorder) Counselor
SW17581FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Counseling Corp CurrentSince Oct 25, 2020 Accepting new patients
Personal Recovery Network LLC CurrentSince Apr 6, 2026 Accepting new patients
Citrus Health Network Inc Current Accepting new patients
Citrus Health Network, Inc. CurrentSince Jul 25, 2023 Accepting new patients
Citrus Health Network Inc CurrentSince Jul 25, 2023 Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

4000 Hollywood Blvd
Ste 715S
Hollywood, FL 33021
Phone (754) 209-1880

7520 SW 57th Ave
Ste D
South Miami, FL 33143
Phone (305) 710-5288

Organizations & group practices 5

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1699264184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 715",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216755",
            "telephone_number": "833-769-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 715",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216755",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7520 SW 57th Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435330",
            "country_code": "US",
            "telephone_number": "305-710-5288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROISMAN",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-009399-2015",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "804596",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "16360816",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.