Individual provider Active NPI

Piper Noelle Stannard Vanderlee, LCSW

  • Clinical Social Worker
  • Palm Harbor, FL
National Provider Identifier
1760033500
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13383 Issued in FL
Practice address
860 Pinewood Ter W
Palm Harbor, FL 34683-2928
Phone
(917) 981-4413
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 SW13383 FL Primary

Addresses

Primary practice location

860 Pinewood Ter W
Palm Harbor, FL 34683-2928

Mailing address

860 Pinewood Ter W
Palm Harbor, FL 34683-2928
Phone (917) 981-4413

Other practice location 1

860 Pinewood Ter W
Palm Harbor, FL 34683-2928
Phone (917) 981-4413

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13383FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1760033500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PINEWOOD TER W",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832928",
            "telephone_number": "917-981-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PINEWOOD TER W",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832928",
            "telephone_number": "917-981-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Pinewood Ter W",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346832928",
            "country_code": "US",
            "telephone_number": "917-981-4413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANNARD VANDERLEE",
        "first_name": "PIPER",
        "middle_name": "NOELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.