Christian Carbonera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW23883 Issued in FL

Practice address

1453 NE 15TH Ave
Fort Lauderdale, FL 33304-1372

Phone

(786) 468-4355

NPI assigned

Dec 4, 2024

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• FL HMO
• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• FL HMO D-SNP
• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• FL HMO C-SNP

Interoperability endpoints

• Direct secure messaging: christian.carbonera.p1@direct.careresource.nextgenshare.com

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.

• Care Resource Community Health Centers, Inc

  dba Care resource

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1053311373
  Medicare reassignment NPD
• Care Resource Community Health Centers, Inc.

  dba Care Resource Pharmacy Little Havana

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1164039798
  NPD
• Care Resource Community Health Centers, Inc.

  • Community/Behavioral Health Agency
  • Oakland Park, FL
  • NPI 1720607377
  NPD

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1003622127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 NE 15TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041372",
            "telephone_number": "786-468-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 NE 15TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041372",
            "telephone_number": "786-468-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONERA",
        "first_name": "CHRISTIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yusleydis Caraballo Lopez
• Alexy Carballeira Giraldo, RBT
• Pamela Michele Carbone, PH.D.
• Ana Cristina Carbonell, LMHC
• Gabriela Carbonell
• Xavier Carcache, APRN
• Sarah Cardenas
• Cardiac Arrhythmia Service Inc
• Cardiac Cath Lab of East Fort Lauderdale, LLC (Ft. Lauderdale Heart & Rhythm Center)
• Cardio Thoracic Surgical Institute of South Florida, LLLP

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.