Individual provider Active NPI

Oylime Fernandez, LCSW, MSW, MBA

  • Clinical Social Worker
  • Coral Gables, FL
National Provider Identifier
1003289430
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 12761 Issued in FL
Practice address
2150 Coral Way FL 8
Coral Gables, FL 33145-2629
Phone
(305) 856-8940
Fax
(305) 456-3797
NPI assigned
Nov 6, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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 SW 12761 FL Primary

Addresses

Primary practice location

2150 Coral Way FL 8
Coral Gables, FL 33145-2629

Mailing address

2150 Coral Way FL 8
Coral Gables, FL 33145-2629
Phone (305) 856-8940

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
SW 12761FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Through Courage Counseling LLC Current Accepting new patients
Neuroscience Centers of Florida Foundation, Inc. Past Accepting new patients
Neuroscience Centers of Florida Foundation, Inc. Clinical Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1003289430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CORAL WAY FL 8",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452629",
            "telephone_number": "305-856-8940",
            "fax_number": "305-456-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 CORAL WAY FL 8",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452629",
            "telephone_number": "305-856-8940",
            "fax_number": "305-456-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "OYLIME",
        "credential": "LCSW, MSW, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.