Active NPI
Nydia Lissette Sabugo-Marrou, L.C.S.W.
- Clinical Social Worker
- West Palm Beach, FL
National Provider Identifier
1790901932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW7998
- Practice address
- 2324 S Congress Ave
West Palm Beach, FL 33406-7669 - Phone
- (561) 779-6826
- Fax
- (561) 433-3651
- NPI assigned
- Apr 17, 2007
- 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 | SW7998 | FL | Primary |
Addresses
Primary practice location
2324 S Congress Ave
West Palm Beach, FL 33406-7669
Mailing address
3901 S Flagler Dr Apt 501
West Palm Beach, FL 33405-2398
Phone (561) 779-6826
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 |
|---|---|---|---|
| SW7998 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790901932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 S FLAGLER DR APT 501",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334052398",
"telephone_number": "561-779-6826",
"fax_number": "561-433-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 S CONGRESS AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334067669",
"telephone_number": "561-779-6826",
"fax_number": "561-433-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABUGO-MARROU",
"first_name": "NYDIA",
"middle_name": "LISSETTE",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.