Active NPI
Roy Adcock
- Case Manager/Care Coordinator
- Pembroke Pines, FL
National Provider Identifier
1841845872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1152 N University Dr
Pembroke Pines, FL 33024-5000 - Phone
- (954) 639-7345
- NPI assigned
- Aug 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CBHCM103074 | FL | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1152 N University Dr
Pembroke Pines, FL 33024-5000
Mailing address
3911 Hollywood Blvd Ste 201
Hollywood, FL 33021-6795
Phone (954) 639-7345
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 |
|---|---|---|---|
| CBHCM103074 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1841845872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 HOLLYWOOD BLVD STE 201",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216795",
"telephone_number": "954-639-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1152 N UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330245000",
"telephone_number": "954-639-7345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADCOCK",
"first_name": "ROY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "CBHCM103074",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.