Individual provider Active NPI

Kerry Pierre-Philippe, LCSW

  • Clinical Social Worker
  • Miami Gardens, FL
National Provider Identifier
1144615733
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 12695 Issued in FL
Practice address
4692 NW 183Rd St
Miami Gardens, FL 33055-3054
Phone
(053) 637-6400
Fax
(305) 636-5155
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 SW 12695 FL Primary

Addresses

Primary practice location

4692 NW 183Rd St
Miami Gardens, FL 33055-3054

Mailing address

5607 NW 27TH Ave Ste 1
Miami, FL 33142-2826
Phone (305) 805-1700

Other practice location 1

232 N Orange Blossom Trl
Orlando, FL 32805-1612
Phone (407) 428-5751

Other identifiers 1

IdentifierTypeStateIssuer
022024300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171003007766 FL Practitioner - Clinical Social Worker 2365717212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Center for the Homeless IncGroup PAC ID 6103895107, 51 clinicians

Practice addresses (Care Compare)

232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone 4074285751329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 12695FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Center for the Homeless Inc CurrentSince Aug 7, 2023 Accepting new patients
Health Care Center for the Homeless, Inc. PastSince May 22, 2022 Accepting new patients

Locations

701 W Livingston St
Bldg 800
Orlando, FL 32805

232 N Orange Blossom Trl
Orlando, FL 32805
Phone (407) 428-1672

4426 Old Winter Garden Rd
Orlando, FL 32811
Phone (407) 428-1672

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1144615733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4692 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553054",
            "telephone_number": "053-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 N Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328051612",
            "country_code": "US",
            "telephone_number": "407-428-5751",
            "fax_number": "407-481-8638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE-PHILIPPE",
        "first_name": "KERRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022024300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Greeway",
            "address_1": "4692 NW 183rd St",
            "city": "Miami Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330553054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.