Active NPI
Myriam M Zelada, LCSW
- Clinical Social Worker
- Fort Lauderdale, FL
National Provider Identifier
1053905828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23266
- Practice address
- 3200 NE 36TH St Apt 1219
Fort Lauderdale, FL 33308-6766 - Phone
- (203) 548-9280
- NPI assigned
- Feb 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 012673 | CT | |
| Clinical Social Worker | 1041C0700X | 23266 | FL | Primary |
Addresses
Primary practice location
3200 NE 36TH St Apt 1219
Fort Lauderdale, FL 33308-6766
Mailing address
3200 NE 36TH St Apt 1219
Fort Lauderdale, FL 33308-6766
Phone (203) 548-9280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012673 | CT | MD | Clinical Social Worker |
| 23266 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Az Counseling and Consulting | Clinical | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1053905828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 NE 36TH ST APT 1219",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333086766",
"telephone_number": "203-548-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 NE 36TH ST APT 1219",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333086766",
"telephone_number": "203-548-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELADA",
"first_name": "MYRIAM",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "012673",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "23266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.