Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stanford Purnell III

Individual provider Clinical Social Worker · NPI 1053051441

Stanford Purnell III is a Clinical Social Worker in Boynton Beach, Florida. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Florida and Idaho.

Years since qualifying
6
Licensed in
FL, ID
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1145 Audace Ave Apt 304
Boynton Beach, FL 33426-3484
Phone: (561) 281-5828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW20454 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1071396 (ID)

Record details

NPI number1053051441
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2022
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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