Active NPI
Vilma Raquel Berrios-Webbe, LCSW
- Social Worker
- Palm Coast, FL
National Provider Identifier
1124638952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW17445
- Practice address
- 1 Hargrove Grade Ste 1a
Palm Coast, FL 32137-5116 - Phone
- (386) 643-3115
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | SW17445 | FL | Primary |
Addresses
Primary practice location
1 Hargrove Grade Ste 1a
Palm Coast, FL 32137-5116
Mailing address
1 Hargrove Grade
Palm Coast, FL 32137-5117
Phone (386) 643-3115
Other names 1
- V Raquel Berrios-Webbe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2025 through Jan 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW17445 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1124638952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HARGROVE GRADE",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321375117",
"telephone_number": "386-643-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HARGROVE GRADE STE 1A",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321375116",
"telephone_number": "386-643-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIOS-WEBBE",
"first_name": "VILMA",
"middle_name": "RAQUEL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW17445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "V",
"last_name": "BERRIOS-WEBBE",
"middle_name": "RAQUEL",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.