Individual provider Active NPI

Mary Ann Dente, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1972145142
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14756 Issued in FL
Practice address
3333 Port Royale Dr S
Fort Lauderdale, FL 33308-7887
Phone
(786) 281-7681
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW14756 FL Primary

Addresses

Primary practice location

3333 Port Royale Dr S
Fort Lauderdale, FL 33308-7887

Mailing address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (786) 281-7681

Other practice location 1

43000 W 9 Mile Rd Ste 301
Novi, MI 48375-4129
Phone (786) 281-7681

Other identifiers 1

IdentifierTypeStateIssuer
1972145142MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mdente@fllighthousecc.com Health Information Exchange (HIE)
Direct Messaging Address mdente@fllighthousecc.com
Direct Messaging Address mdente@fllghthousecc.com

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
SW14756FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1972145142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "786-281-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 PORT ROYALE DR S",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087887",
            "telephone_number": "786-281-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43000 W 9 Mile Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483754129",
            "country_code": "US",
            "telephone_number": "786-281-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTE",
        "first_name": "MARY ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972145142",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdente@fllighthousecc.com",
            "affiliation": "N",
            "endpointDescription": "mdente@fllighthousecc.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3300 Port Royale Dr N Apt 445",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333087914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdente@fllighthousecc.com",
            "affiliation": "N",
            "address_1": "3333 Port Royale Dr S",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333087887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdente@fllghthousecc.com",
            "affiliation": "N",
            "address_1": "3333 Port Royale Dr S",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333087887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.