Staci Hines, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19723 Issued in FL

Practice address

168 N Powerline Rd
Pompano Beach, FL 33069-5713

Phone

(954) 970-8805

NPI assigned

Oct 26, 2016

Last updated

Sep 9, 2025By 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 3

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broward Community and Family Health Centers IncGroup PAC ID 9032170345, 17 clinicians

Practice addresses (Care Compare)

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.

• Broward Community and Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Hollywood, FL
  • NPI 1730121435
  Medicare reassignment Care Compare group
• Broward Community and Family Health Centers Inc

  dba Central BrowardCommunity Health Center

  • Federally Qualified Health Center (FQHC)
  • Lauderhill, FL
  • NPI 1013345149
  NPD
• Greater Flint Health Coalition

  • Case Management Agency
  • Flint, MI
  • NPI 1225586209
  NPD (past)

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1811449770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 HOLLYWOOD BLVD # 5012",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216557",
            "telephone_number": "954-266-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N POWERLINE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695713",
            "telephone_number": "954-970-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "STACI",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097817",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113970600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taniqua Hillmedo, RBT
• Eileen Simon Himel, B.A.
• Amanuel Samad Himmed, M.D.
• Avery Himmelspach
• Hina T Gupta MD PA
• Ke'Arte Hinkle, HS
• Elizabeth Christine Hinman, BCBA, M.ED.
• Adam Marc Hirshhorn, PHARMD
• Reed David Hofmann
• Holiday CVS LLC (CVS Pharmacy #03635)

• Clinical Social Worker in Pompano Beach, FL
• Providers in Pompano Beach, 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 Sep 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.