MINDY STAUM (LCSW) – Clinical Social Worker, NPI 1104139518

MINDY STAUM (LCSW) is a healthcare provider. based in Coral springs, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW9941 (FL). The NPI Number for MINDY STAUM (LCSW) is 1104139518

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MINDY STAUM (LCSW)
NPI
1104139518
Phone
(954) 464-1393
Address
5421 N UNIVERSITY DR
Enumeration Date
15 July 2010
Last Update Date
1 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7325808383
Graduation Year
2006 (20 years ago)
PAC ID
3678730777
Group Practice PAC ID
5890952998
Professional Enrollment ID
I20170210001389
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MINDY STAUM (LCSW)

  • 5421 N UNIVERSITY DR

    STE 102

    CORAL SPRINGS, FL 330674638

    Phone: (954) 464-1393

    Type: Mailing

  • 5421 N UNIVERSITY DR STE 102

    CORAL SPRINGS, FL 330674638

    Phone: (954) 464-1393

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120201000377IClinical Social WorkerFLTBD
I20170210001389IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour49976$0
90834Psychotherapy, 45 minutes25253$0
90832Psychotherapy, 30 minutes12346$0
90791Psychiatric diagnostic evaluation5652$0
View full utilization report →

Insurance plans in this area (ZIP 33067)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890952998View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerPA
-PA
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical Social WorkerNY
-NY
Clinical Social WorkerFL
Clinical Social WorkerPA
-FL

Reviews

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Frequently asked questions

Can I cross-check MINDY STAUM (LCSW) using NPI 1104139518?
NPI 1104139518 belongs to MINDY STAUM (LCSW); compare other details if you need extra assurance.
Is MINDY STAUM (LCSW) still an active registrant?
MINDY STAUM (LCSW) carries an active NPI according to the public dataset.
What kind of doctor is MINDY STAUM (LCSW)?
MINDY STAUM (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MINDY STAUM (LCSW)?
Directory geography for MINDY STAUM (LCSW) centers on Coral Springs, Florida.
Can I trust this NPI listing for MINDY STAUM (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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