Individual provider Active NPI

Stacy Senior-Bromfield, MSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1972239549
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1205 Issued in FL
Practice address
2601 E Oakland Park Blvd Ste 205
Fort Lauderdale, FL 33306-1658
Phone
(954) 997-7212
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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 1205 FL Primary

Addresses

Primary practice location

2601 E Oakland Park Blvd Ste 205
Fort Lauderdale, FL 33306-1658

Mailing address

6341 SW 35TH CT
Miramar, FL 33023-5069
Phone (954) 997-7212

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL N.A

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
1205FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1972239549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 SW 35TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235069",
            "telephone_number": "954-997-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E OAKLAND PARK BLVD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061658",
            "telephone_number": "954-997-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENIOR-BROMFIELD",
        "first_name": "STACY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N.A",
            "affiliation": "N",
            "address_1": "2601 E Oakland Park Blvd Ste 205",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333061658",
            "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 26, 2022; 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.