Individual provider Active NPI

Viviana Matiz Miller, L.C.S.W

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1144586454
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10265 Issued in FL
Practice address
800 SW 108TH Ave Ste 100
Miami, FL 33174-2555
Phone
(305) 348-3627
Fax
(305) 348-4261
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW10265 FL Primary

Addresses

Primary practice location

800 SW 108TH Ave Ste 100
Miami, FL 33174-2555

Mailing address

800 SW 108TH Ave Ste 100
Miami, FL 33174-2555
Phone (305) 348-3627

Other practice location 1

1600 S Andrews Ave Ste 1090
Ft Lauderdale, FL 33316-2510
Phone (954) 523-2727

Other practice location 2

12150 SW 128th Ct
Miami, FL 33186-4647
Phone (305) 761-4564

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients
Florida International University Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27920/brand/2/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144586454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW 108TH AVE STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742555",
            "telephone_number": "305-348-3627",
            "fax_number": "305-348-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW 108TH AVE STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742555",
            "telephone_number": "305-348-3627",
            "fax_number": "305-348-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S Andrews Ave Ste 1090",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333162510",
            "country_code": "US",
            "telephone_number": "954-523-2727",
            "fax_number": "354-523-8814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12150 SW 128th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331864647",
            "country_code": "US",
            "telephone_number": "305-761-4564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VIVIANA",
        "middle_name": "MATIZ",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.