Organization Active NPI

Cindy Jill North LCSW., P.a.

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1992043657
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3970 Issued in FL
Legal business name
CINDY JILL NORTH LCSW., P.A.
Practice address
1931 NW 150TH Ave Ste 124
Pembroke Pines
Pembroke Pines, FL 33028-2873
Phone
(954) 322-1005
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Ms. Cindy Jill North, LCSWNPI 1104837798
Title
Director
Phone
(954) 322-1005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW3970 FL Primary

Addresses

Primary practice location

1931 NW 150TH Ave Ste 124
Pembroke Pines
Pembroke Pines, FL 33028-2873

Mailing address

1931 NW 150TH Ave Ste 124
Pembroke Pines
Pembroke Pines, FL 33028-2873
Phone (954) 322-1005

Other identifiers 1

IdentifierTypeStateIssuer
001524800MedicaidFL

National Provider Directory

National Provider Directory

Locations

1931 NW 150th Ave
Ste 124
Pembroke Pines, FL 33028
Phone (954) 322-1005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1992043657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE STE 124",
            "address_2": "PEMBROKE PINES",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282873",
            "telephone_number": "954-322-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE STE 124",
            "address_2": "PEMBROKE PINES",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282873",
            "telephone_number": "954-322-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY JILL NORTH LCSW., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-322-1005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001524800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.