Lois Nannette Borland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10116 Issued in FL

Practice address

4400 E Highway 20 Ste 306
Niceville, FL 32578-7703

Phone

(850) 897-7810

Fax

(850) 897-0032

NPI assigned

Nov 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lois Nannette Lutz Former name

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1912410218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KILCULLEN DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325787301",
            "telephone_number": "850-582-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E HIGHWAY 20 STE 306",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325787703",
            "telephone_number": "850-897-7810",
            "fax_number": "850-897-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORLAND",
        "first_name": "LOIS",
        "middle_name": "NANNETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "LUTZ",
            "middle_name": "NANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Elissa Bogan, BSW
• Charae Bond, RPH
• Alexis Alicia Bonton
• Boobology With Dr. Momo
• Amanda J Boone, LMT MA55291
• Kristen Marie Bowers, M.S. CCC-SLP
• Mariah Boyer, LCSW
• Sarah Boyles, BCABA
• Brenda Mae Bozarth
• Michelle R. Brackett, COTA

• All providers in Niceville, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.