Individual provider Active NPI

Stephanie B Moniz, LCSW

  • Clinical Social Worker
  • The Villages, FL
National Provider Identifier
1730362971
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25284 Issued in FL
Practice address
779 Kristine Way
The Villages, FL 32163-0099
Phone
(352) 674-6020
Fax
(352) 674-6030
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW25284 FL Primary
Clinical Social Worker 1041C0700X ISW01634 RI

Addresses

Primary practice location

779 Kristine Way
The Villages, FL 32163-0099

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080320000694 RI Practitioner - Clinical Social Worker 6901982636 Reassigns benefits to 1 organization
I20251114000518 FL Practitioner - Clinical Social Worker 6901982636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Ocean State Therapy and Wellness LLCGroup PAC ID 9133460678, 3 clinicians

Practice addresses (Care Compare)

6828 Post Rd
North Kingstown, RI 02852-2100
Phone (401) 268-3886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW25284FLMDClinical Social Worker
ISW01634RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Villages Health System LLC Multi-Specialty CurrentSince Oct 20, 2025 Accepting new patients
Ocean State Therapy and Wellness. LLC Clinical CurrentSince Mar 1, 2019 Accepting new patients

Locations

1020 Lake Sumter Lndg
The Villages, FL 32162

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

779 Kristine Way
The Villages, FL 32163
Phone (352) 674-6020

6828 Post Rd
Unit 2E
North Kingstown, RI 02852
Phone (401) 268-3886

130 Tower Hill Rd
North Kingstown, RI 02852
Phone (401) 268-3886

Interoperability endpoints

  • Direct secure messaging: stephanie.moniz.1@18324.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4

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, 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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1730362971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 KRISTINE WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321630099",
            "telephone_number": "352-674-6020",
            "fax_number": "352-674-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIZ",
        "first_name": "STEPHANIE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25284",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.