Active NPI
Lisa D Coventry
- Clinical Social Worker
- Oakland Park, FL
National Provider Identifier
1720359409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW6839
- Practice address
- 1400 E Oakland Park Blvd
Suite 100
Oakland Park, FL 33334-4400 - Phone
- (954) 599-2047
- NPI assigned
- Jan 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | SW6839 | FL | Primary |
Addresses
Primary practice location
1400 E Oakland Park Blvd
Suite 100
Oakland Park, FL 33334-4400
Mailing address
1400 E Oakland Park Blvd
Suite 100
Oakland Park, FL 33334-4400
Phone (954) 599-2047
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW6839 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa D Coventry | Clinical | Past | Accepting new patients |
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": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1720359409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E OAKLAND PARK BLVD",
"address_2": "SUITE 100",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344400",
"telephone_number": "954-599-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E OAKLAND PARK BLVD",
"address_2": "SUITE 100",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344400",
"telephone_number": "954-599-2047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVENTRY",
"first_name": "LISA",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-26",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW6839",
"primary": true
}
],
"identifiers": [],
"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 Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.