Individual provider Active NPI

Rosario Noa, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1053290429
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14294 Issued in FL
Practice address
1601 N Palm Ave Ste 304
Pembroke Pines, FL 33026-3242
Phone
(954) 367-2840
Fax
(954) 505-3378
NPI assigned
Aug 29, 2025
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 SW14294 FL Primary

Addresses

Primary practice location

1601 N Palm Ave Ste 304
Pembroke Pines, FL 33026-3242

Mailing address

11790 SW 16TH St Apt a
Miami, FL 33175-1619
Phone (305) 479-7126

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250924000735 FL Practitioner - Clinical Social Worker 2466957212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida International Univ, College of Medicine, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1601 N Palm Ave
Suite 304
Pembroke Pines, FL 33026-3242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW14294FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Health and Community Services Corporation CurrentSince Sep 15, 2025 Accepting new patients

Locations

1601 N Palm Ave
Ste 304
Pembroke Pines, FL 33026
Phone (954) 367-2840

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": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1053290429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW 16TH ST APT A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751619",
            "telephone_number": "305-479-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE STE 304",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263242",
            "telephone_number": "954-367-2840",
            "fax_number": "954-505-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOA",
        "first_name": "ROSARIO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.