Individual provider Active NPI

Stacy Sarnoff, LCSW

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1710179452
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3731 Issued in FL
Practice address
3349 N University Dr
Suite4
Hollywood, FL 33024-9000
Phone
(954) 885-9500
Fax
(954) 885-9444
NPI assigned
Aug 16, 2007
Last updated
Aug 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3731 FL Primary

Addresses

Primary practice location

3349 N University Dr
Suite4
Hollywood, FL 33024-9000

Mailing address

3349 N University Dr
Suite4
Hollywood, FL 33024-9000
Phone (954) 885-9500

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
I20080220000369 FL Practitioner - Clinical Social Worker 4981788668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1515 N University Dr
Suite 113
Coral Springs, FL 33071-6065
Phone (954) 796-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW3731FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy Sarnoff, LCSW, PA Clinical CurrentSince Mar 5, 2013 Accepting new patients

Locations

1515 N University Dr
Ste 113
Coral Springs, FL 33071
Phone (954) 796-7080

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1710179452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 N UNIVERSITY DR",
            "address_2": "SUITE4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330249000",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 N UNIVERSITY DR",
            "address_2": "SUITE4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330249000",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNOFF",
        "first_name": "STACY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.