Individual provider Active NPI

Lourdes Contreras, LCSW

  • Clinical Social Worker
  • Fort Pierce, FL
National Provider Identifier
1134529605
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19224 Issued in FL
Practice address
494 Maple Ave
Fort Pierce, FL 34982-5949
Phone
(772) 245-0048
NPI assigned
Sep 2, 2014
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X SW19224 FL Primary

Addresses

Primary practice location

494 Maple Ave
Fort Pierce, FL 34982-5949

Mailing address

761 SW Jaslo Ave
Port Saint Lucie, FL 34953-3940
Phone (646) 314-2705

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

State licenses

LicenseStateTypeSpecialty
SW19224FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Contreras Counseling Services, LLC Clinical CurrentSince Jul 3, 2022 Accepting new patients

Locations

494 Maple Ave
Fort Pierce, FL 34982
Phone (772) 245-0048

601 21st St
Ste 300
Vero Beach, FL 32960
Phone (240) 353-1018

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, 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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1134529605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 SW JASLO AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533940",
            "telephone_number": "646-314-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 MAPLE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825949",
            "telephone_number": "772-245-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "LOURDES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.