Paul C. Tretbar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 6808 Issued in FL

Practice address

15321 S Dixie Hwy
Suite 210
Palmetto Bay, FL 33157-1814

Phone

(305) 259-0016

Fax

(305) 259-0818

NPI assigned

Mar 26, 2007

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

Other identifiers 1

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

State licenses

Practice roles

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.

• Kristi House, Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1497973820
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1053439638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR",
            "address_2": "STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262080",
            "telephone_number": "305-259-0016",
            "fax_number": "305-259-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15321 S DIXIE HWY",
            "address_2": "SUITE 210",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571814",
            "telephone_number": "305-259-0016",
            "fax_number": "305-259-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRETBAR",
        "first_name": "PAUL",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766923200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lina Torres, MD
• Total Medical Management LLC
• Telenia D Tovar Fernandez
• Transcendental Studio
• Trauma Resolution Center
• Nelson Jesus Triana, DMD
• Jonas Trinidad
• Silvia Esther Trujillo, NURSE PRACTITIONER
• Truvida Medical Group LLC
• Steven G Tucker, MD

• Clinical Social Worker in Palmetto Bay, FL
• Providers in Palmetto Bay, 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 Sep 26, 2018; 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.