Individual provider Active NPI

Tatiana Mijares-Cantrell, LCSW

  • Clinical Social Worker
  • Cutler Bay, FL
National Provider Identifier
1144762667
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13990 Issued in FL
Practice address
10300 SW 216TH St
Cutler Bay, FL 33190-1003
Phone
(305) 253-5100
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW13990 FL Primary
School Social Worker 1041S0200X SW13990 FL

Addresses

Primary practice location

10300 SW 216TH St
Cutler Bay, FL 33190-1003

Mailing address

10300 SW 216TH St
Cutler Bay, FL 33190-1003
Phone (305) 253-5100

Other names 1

  • Tatiana Mijares Former name

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
I20170113002523 FL Practitioner - Clinical Social Worker 2668754268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Traveling Therapist LLCGroup PAC ID 2769723402, 10 clinicians

Practice addresses (Care Compare)

303 NE 3Rd Ave
Suite 7And8
Cape Coral, FL 33909-2538
Phone (239) 354-7227

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13990FLMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Aug 1, 2020 Accepting new patients
The Traveling Therapist LLC CurrentSince May 3, 2025 Accepting new patients
Calm Waters Counseling Group CurrentSince May 3, 2025 Accepting new patients
Dna Comprehensive Therapy Services, LLC Clinical CurrentSince Aug 1, 2020 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 9, 2024 Accepting new patients

Locations (25 of 35)

5325 E State Road 64
Ste B
Bradenton, FL 34208
Phone (813) 970-3402

1602 Oakfield Dr
Ste 205
Brandon, FL 33511
Phone (813) 655-6367

11371 Cortez Blvd
Ste 210
Brooksville, FL 34613
Phone (352) 616-7600

418 SW 47th Ter
Cape Coral, FL 33914
Phone (239) 673-9034

303 NE 3rd Ave
Ste 78
Cape Coral, FL 33909
Phone (239) 354-7187

2721 Del Prado Blvd S
Ste 200
Cape Coral, FL 33904
Phone (239) 458-6677

14000 S Military Trl
Ste 208
Delray Beach, FL 33484
Phone (561) 563-7110

9401 Corkscrew Palms Cir
Fl 3
Estero, FL 33928

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

12670 New Brittany Blvd
Ste 101
Fort Myers, FL 33907
Phone (239) 354-7227

1131 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 363-2025

2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 986-7442

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2230 Venetian Ct
Ste 1
Naples, FL 34109
Phone (239) 236-5448

7623 Little Rd
Ste 300B
New Port Richey, FL 34654
Phone (727) 910-5990

1201 US Highway 1
Ste 250
North Palm Beach, FL 33408
Phone (561) 747-2775

2910 Maguire Rd
Ste 2002
Ocoee, FL 34761
Phone (407) 287-1664

1542 Kingsley Ave
Ste 136137
Orange Park, FL 32073
Phone (904) 458-7780

1532 Kingsley Ave
Ste 112
Orange Park, FL 32073
Phone (904) 214-3222

3157 N Alafaya Trl
Orlando, FL 32826
Phone (407) 215-0095

285 Clyde Morris Blvd
#300B
Ormond Beach, FL 32174

3191 Harbor Blvd
Ste B
Port Charlotte, FL 33952
Phone (941) 624-2141

1777 Tamiami Trl
Ste 201
Port Charlotte, FL 33948
Phone (941) 249-4354

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

Organizations & group practices 5

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1144762667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 216TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901003",
            "telephone_number": "305-253-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 216TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901003",
            "telephone_number": "305-253-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJARES-CANTRELL",
        "first_name": "TATIANA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13990",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": "SW13990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "MIJARES",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.