Individual provider Active NPI

Grace Nagales, GRACE NAGALES, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1063795557
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10101 Issued in FL
Practice address
11203 Lakeview Dr
Coral Springs, FL 33071-6300
Phone
(954) 501-6809
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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 SW 10101 FL Primary

Addresses

Primary practice location

11203 Lakeview Dr
Coral Springs, FL 33071-6300

Mailing address

11203 Lakeview Dr
Coral Springs, FL 33071-6300
Phone (954) 501-6809

Other names 1

  • Grace Carreto Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10101FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mtca Psychological Services P.a. CurrentSince May 14, 2024 Accepting new patients

Locations

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1063795557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 LAKEVIEW DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716300",
            "telephone_number": "954-501-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 LAKEVIEW DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716300",
            "telephone_number": "954-501-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGALES",
        "first_name": "GRACE",
        "credential": "GRACE NAGALES, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "CARRETO",
            "credential": "GRACE CARRETO, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.