Individual provider Active NPI

Susana Mejia Vargas, LCSW

  • Clinical Social Worker
  • Key Biscayne, FL
National Provider Identifier
1043042658
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22889 Issued in FL
Practice address
155 Ocean Lane Dr Apt 800
Key Biscayne, FL 33149-1476
Phone
(305) 733-1775
NPI assigned
Aug 14, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 SW22889 FL Primary

Addresses

Primary practice location

155 Ocean Lane Dr Apt 800
Key Biscayne, FL 33149-1476

Mailing address

155 Ocean Lane Dr Apt 800
Key Biscayne, FL 33149-1476
Phone (305) 733-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22889FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Feb 28, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 1

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": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1043042658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 OCEAN LANE DR APT 800",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491476",
            "telephone_number": "305-733-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 OCEAN LANE DR APT 800",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491476",
            "telephone_number": "305-733-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA VARGAS",
        "first_name": "SUSANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Biscayne, FL

Sources for this page

Verify at the official NPI Registry.