Active NPI
Carol Mirones LLC
- Clinical Social Worker
- Davie, FL
National Provider Identifier
1962009092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.