Individual provider Active NPI

Paula Locke, LCSW, CAP

  • Clinical Social Worker
  • Davie, FL
National Provider Identifier
1881889376
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 9510 Issued in FL
Practice address
9470 Live Oak PL
Suite # D-405
Davie, FL 33324-4769
Phone
(954) 234-2724
Fax
(954) 302-1830
NPI assigned
Sep 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3324 FL
Social Worker 104100000X 7091 TN
Behavior Analyst 103K00000X SW 9510 FL
Mental Health Counselor 101YM0800X LCSW FL
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 3324 FL
Professional Counselor 101YP2500X SW 9510 FL
Clinical Social Worker 1041C0700X SW 9510 FL Primary

Addresses

Primary practice location

9470 Live Oak PL
Suite # D-405
Davie, FL 33324-4769

Mailing address

9470 Live Oak PL
Suite # D-405
Davie, FL 33324-4769
Phone (954) 234-2724

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
3324FLMDAddiction (Substance Use Disorder) Counselor
CAP 3324FLMDAddiction (Substance Use Disorder) Counselor
SW 9510FLMDProfessional Counselor
LCSWFLMDClinical Social Worker
7091TNMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1881889376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 LIVE OAK PL",
            "address_2": "SUITE # D-405",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244769",
            "telephone_number": "954-234-2724",
            "fax_number": "954-302-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 LIVE OAK PL",
            "address_2": "SUITE # D-405",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244769",
            "telephone_number": "954-234-2724",
            "fax_number": "954-302-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "3324",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "7091",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "SW 9510",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LCSW",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 3324",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW 9510",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.