Active NPI
Ariadna Gonzalez Bermudez
- Clinical Social Worker
- Hialeah, FL
National Provider Identifier
1013419183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW22064
- Practice address
- 18300 NW 62ND Ave Ste 200
Hialeah, FL 33015-8207 - Phone
- (786) 304-7731
- Fax
- (786) 353-2349
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | ISW22064 | FL | Primary |
Addresses
Primary practice location
18300 NW 62ND Ave Ste 200
Hialeah, FL 33015-8207
Mailing address
18300 NW 62ND Ave Ste 200
Hialeah, FL 33015-8207
Phone (786) 304-7731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105098000 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW22064 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Medical Research LLC | Current | Accepting new patients | |
| Quality of Life Servicing Corp | Current | Accepting new patients |
Locations
18300 NW 62nd Ave
Ste 200
Miami Gardens, FL 33015
Phone (786) 858-7800
13117 NW 42nd Ave
Opa Locka, FL 33054
Phone (786) 304-7731
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEBAED
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Lauderdale, FL
- NPI 1235697830
-
- Research Clinic/Center
- Fort Lauderdale, FL
- NPI 1407596810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1013419183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18300 NW 62ND AVE STE 200",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330158207",
"telephone_number": "786-304-7731",
"fax_number": "786-353-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 NW 62ND AVE STE 200",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330158207",
"telephone_number": "786-304-7731",
"fax_number": "786-353-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ BERMUDEZ",
"first_name": "ARIADNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW22064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105098000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.