Tammy Lynn Staples, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004417 Issued in CT

Practice address

3311 NW 69TH Court
Ft Lauderdale, FL 33309-1204

Phone

(860) 874-2484

Fax

(954) 851-9688

NPI assigned

Nov 20, 2006

Last updated

Mar 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boca Raton Psychiatry, LLC

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1275056616
  Medicare reassignment NPD
• Healthy Solutionz, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Lauderdale, FL
  • NPI 1891035572
  NPD Authorized official
• Kidz Matter LLC

  • Social Worker
  • Enfield, CT
  • NPI 1912111824

  Clinical

  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1740354687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 NW 69TH COURT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091204",
            "telephone_number": "860-874-2484",
            "fax_number": "954-851-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 NW 69TH COURT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091204",
            "telephone_number": "860-874-2484",
            "fax_number": "954-851-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00423734400",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Staller, DO
• Debra A Standish
• Amos Stanislas, M.D.
• Stanley B Seidman PHD PA D B a Associates in Behavioral Counseling (Associates in Behavioral Counseling)
• Robert Stanton I, DMD
• Lewis Starasoler, MD
• Sabrina Stark, MD
• Starlight Medical Supplies LLC
• Brenda Starr, RN, LCSW
• Joseph Mario Stasio, DO

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.