Active NPI
Nicole Marie Neufeld, RCSWI
- Clinical Social Worker
- Miami, FL
National Provider Identifier
1063163483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22471
- Practice address
- 12417 SW 95TH Ter
Miami, FL 33186-1878 - Phone
- (754) 422-1352
- NPI assigned
- Jan 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC312 | DC | |
| Clinical Social Worker | 1041C0700X | 22471 | FL | Primary |
Addresses
Primary practice location
12417 SW 95TH Ter
Miami, FL 33186-1878
Mailing address
12417 SW 95TH Ter
Miami, FL 33186-1878
Phone (754) 422-1352
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 |
|---|---|---|---|
| PRC312 | DC | MD | Professional Counselor |
| 22471 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703894400000",
"number": "1063163483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12417 SW 95TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861878",
"telephone_number": "754-422-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12417 SW 95TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861878",
"telephone_number": "754-422-1352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUFELD",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "RCSWI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2023-12-30",
"certification_date": "2023-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC312",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "22471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.