Active NPI
Lisette Terre
- Social Worker
- Homestead, FL
National Provider Identifier
1063994457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 654 NE 9TH PL
Homestead, FL 33030 - Phone
- (305) 248-3488
- Fax
- (305) 248-6558
- NPI assigned
- Aug 31, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
654 NE 9TH PL
Homestead, FL 33030
Mailing address
117 SW 10TH St Apt 1007
Miami, FL 33130-3683
Phone (786) 397-0652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CCM100249-A | Other | FL | FLORIDA CERTIFICATION BOARD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Health Corp | 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.
-
- Adult Day Care Clinic/Center
- Palmetto Bay, FL
- NPI 1407608144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1063994457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 SW 10TH ST APT 1007",
"city": "MIAMI",
"state": "FL",
"postal_code": "331303683",
"telephone_number": "786-397-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 NE 9TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "33030",
"telephone_number": "305-248-3488",
"fax_number": "305-248-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRE",
"first_name": "LISETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA CERTIFICATION BOARD",
"identifier": "CCM100249-A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.