Individual provider Active NPI

Sahily De Castro, LCSW

  • Clinical Social Worker
  • South Miami, FL
National Provider Identifier
1053558080
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9112 Issued in FL
Practice address
7800 Red Rd
Suite 224
South Miami, FL 33143-5528
Phone
(305) 213-9367
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 SW9112 FL Primary

Addresses

Primary practice location

7800 Red Rd
Suite 224
South Miami, FL 33143-5528

Mailing address

24064 SW 118TH Ave
Homestead, FL 33032-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000599 FL Practitioner - Clinical Social Worker 1355408998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Feb 12, 2024 Accepting new patients
Incera Psychological Group PA PastSince Nov 23, 2015 Accepting new patients

Locations

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

3233 Palm Ave
Hialeah, FL 33012
Phone (305) 642-0590

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

Interoperability endpoints

  • Direct secure messaging: sahily.de.castro.1@29601.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1053558080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24064 SW 118TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 RED RD",
            "address_2": "SUITE 224",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435528",
            "telephone_number": "305-213-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CASTRO",
        "first_name": "SAHILY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.