Organization Active NPI

Carol Mirones LLC

  • Clinical Social Worker
  • Davie, FL
National Provider Identifier
1962009092
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAROL MIRONES LLC
Practice address
12505 Orange Dr Ste 908
Davie, FL 33330-4300
Phone
(954) 342-0982
Fax
(954) 342-1080
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Carol Lipscomb Mirones, LCSW
Title
Owner
Phone
(954) 342-0982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12505 Orange Dr Ste 908
Davie, FL 33330-4300

Mailing address

12505 Orange Dr Ste 908
Davie, FL 33330-4300
Phone (954) 342-0982

National Provider Directory

National Provider Directory

Locations

12505 Orange Dr
Ste 908
Davie, FL 33330
Phone (786) 306-0505

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1962009092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 ORANGE DR STE 908",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304300",
            "telephone_number": "954-342-0982",
            "fax_number": "954-342-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 ORANGE DR STE 908",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304300",
            "telephone_number": "954-342-0982",
            "fax_number": "954-342-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL MIRONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "MIRONES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LIPSCOMB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-342-0982",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 1, 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.

Verify at the official NPI Registry.