Dolia Peguero, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6289 Issued in FL

Practice address

1601 N Palm Ave Ste 211
Pembroke Pines, FL 33026-3204

Phone

(954) 447-0010

Fax

(954) 447-0899

NPI assigned

Oct 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Serenity Community Mental Health Center LLCGroup PAC ID 4587946793, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dolia.peguero@chs1.eclinicaldirectplus.com

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.

• Compass Health Systems, P.a.

  • Psychiatry Physician
  • North Miami, FL
  • NPI 1619965795

  Mental Health

  Medicare reassignment Care Compare group NPD
• Serenity Community Mental Health Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1457705634
  Medicare reassignment Care Compare group
• Center for Individual and Family Counseling Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1073993119
  Medicare reassignment NPD
• Miami Dade Community Services Inc

  • Substance Abuse Rehabilitation Facility
  • Miami, FL
  • NPI 1740540608

  Clinical

  Medicare reassignment NPD
• D & C Health Services Inc

  • Counselor
  • Pembroke Pines, FL
  • NPI 1558563593

  Mental Health

  NPD (past) Authorized official
• Compass Health Systems, P.a.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1194392498
  NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1114915717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE STE 211",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263204",
            "telephone_number": "954-447-0010",
            "fax_number": "954-447-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUERO",
        "first_name": "DOLIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW6289",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisbet Pedraza Duran
• Lismary Pedraza Duran, BCBA, LMHC
• Norberto Jesus Pedroso Montesino, M.D.
• Vanessa Pamela Pedroso, APRN, FNP-C
• Maria Paula Pedroza Medina
• Ashley Pelaez, RD
• Sophia Pelaez
• Melissa Rae Pelosi, PA
• Pemboke Family Denisty P.a.
• Pembrok Health and Wellness Center, LLC

• Clinical Social Worker in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.