Individual provider Active NPI

Jorge Almodovar Capielo, MSW

  • Clinical Social Worker
  • Ponce, PR
National Provider Identifier
1093019101
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9932 Issued in PR
Practice address
3155 Ave Julio E Monagas
Urb. Constancia
Ponce, PR 00717-2205
Phone
(787) 347-9815
NPI assigned
Jan 4, 2011
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 9932 PR Primary

Addresses

Primary practice location

3155 Ave Julio E Monagas
Urb. Constancia
Ponce, PR 00717-2205

Mailing address

3155 Ave Julio E Monagas
Urb. Constancia
Ponce, PR 00717-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200716003585 PR Practitioner - Clinical Social Worker 4587088026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emet, LLC Clinical CurrentSince Mar 7, 2021 Accepting new patients
Emet, LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

52 Calle Betances
#2
Caguas, PR 00725
Phone (787) 363-5103

J1 Calle 12
Caguas, PR 00725
Phone (787) 567-7716

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1093019101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 AVE JULIO E MONAGAS",
            "address_2": "URB. CONSTANCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 AVE JULIO E MONAGAS",
            "address_2": "URB. CONSTANCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172205",
            "telephone_number": "787-347-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMODOVAR CAPIELO",
        "first_name": "JORGE",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "9932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.