Individual provider Active NPI

Alison Nyman

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1891035630
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14242 Issued in FL
Practice address
3325 Hollywood Blvd Ste 503
Hollywood, FL 33021-6926
Phone
(954) 648-5153
NPI assigned
Feb 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086976 NY
Clinical Social Worker 1041C0700X SW14242 FL Primary

Addresses

Primary practice location

3325 Hollywood Blvd Ste 503
Hollywood, FL 33021-6926

Mailing address

1462 NW 81St Ter
Plantation, FL 33322-4663
Phone (954) 648-5153

Other practice location 1

131 E 23rd St Apt 11D
New York, NY 10010-4514
Phone (954) 648-5153

Other identifiers 1

IdentifierTypeStateIssuer
SW14242OtherFLLCSW

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

LicenseStateTypeSpecialty
086976NYMDSocial Worker
SW14242FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1891035630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 NW 81ST TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224663",
            "telephone_number": "954-648-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD STE 503",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216926",
            "telephone_number": "954-648-5153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 E 23rd St Apt 11D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104514",
            "country_code": "US",
            "telephone_number": "954-648-5153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYMAN",
        "first_name": "ALISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086976",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "SW14242",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.