Organization Active NPI

Juan Pineda

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1033466594
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10636 Issued in FL
Legal business name
JUAN PINEDA
Doing business as
My Choice Individual and family counseling
Practice address
2900 Dorchester LN
Hollywood, FL 33026-3768
Phone
(954) 864-4552
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Mr. Juan Alejandro Pineda, LCSW
Title
Clinician
Phone
(954) 864-4552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW10636 FL Primary

Addresses

Primary practice location

2900 Dorchester LN
Hollywood, FL 33026-3768

Mailing address

2900 Dorchester LN
Hollywood, FL 33026-3768
Phone (954) 864-4552

Other names 1

  • My Choice Individual and family counseling Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1033466594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DORCHESTER LN",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330263768",
            "telephone_number": "954-864-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DORCHESTER LN",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330263768",
            "telephone_number": "954-864-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN PINEDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "954-864-4552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Choice Individual and family counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.