Active NPI
Osvail L Dias
- Clinical Social Worker
- Lauderdale by the Sea, FL
National Provider Identifier
1003067711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 14273
- Practice address
- 218 Commercial Blvd
Suite 232
Lauderdale by the Sea, FL 33308-4451 - Phone
- (617) 910-7034
- Fax
- (954) 492-0334
- NPI assigned
- Oct 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 14273 | FL | Primary |
Addresses
Primary practice location
218 Commercial Blvd
Suite 232
Lauderdale by the Sea, FL 33308-4451
Mailing address
4117 Bougainvilla Dr
Apt. 111
Lauderdale by the Sea, FL 33308-5415
Phone (617) 910-7034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170612002624 | FL | Practitioner - Clinical Social Worker | 2668634585 | Practice locations: Lauderdale by the Sea, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 14273 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1003067711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 BOUGAINVILLA DR",
"address_2": "APT. 111",
"city": "LAUDERDALE BY THE SEA",
"state": "FL",
"postal_code": "333085415",
"telephone_number": "617-910-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 COMMERCIAL BLVD",
"address_2": "SUITE 232",
"city": "LAUDERDALE BY THE SEA",
"state": "FL",
"postal_code": "333084451",
"telephone_number": "617-910-7034",
"fax_number": "954-492-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAS",
"first_name": "OSVAIL",
"middle_name": "L",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-01",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 14273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale by the Sea, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.