Active NPI
Sahily De Castro, LCSW
- Clinical Social Worker
- South Miami, FL
National Provider Identifier
1053558080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9112
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090325000599 | FL | Practitioner - Clinical Social Worker | 1355408998 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Current | Accepting new patients | |
| Incera Psychological Group PA | Past | 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
- 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.
-
- Psychologist
- South Miami, FL
- NPI 1134215189
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.