Individual provider Active NPI

Erick Paulino, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1144927146
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18975 Issued in FL
Practice address
1250 NW 21St St Apt 1112
Miami, FL 33142-7745
Phone
(786) 899-1490
NPI assigned
Feb 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW18975 FL Primary

Addresses

Primary practice location

1250 NW 21St St Apt 1112
Miami, FL 33142-7745

Mailing address

1250 NW 21St St Apt 1112
Miami, FL 33142-7745
Phone (786) 899-1490

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
I20230505000437 FL Practitioner - Clinical Social Worker 1557726007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lago Mental Health CorpGroup PAC ID 3577955491, 2 clinicians

Practice addresses (Care Compare)

11055 SW 186TH St
Suite 207
Cutler Bay, FL 33157-6842
Phone (786) 483-5523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lago Mental Health Corp Single Specialty CurrentSince Apr 1, 2023 Accepting new patients

Locations

11055 SW 186th St
Ste 207
Cutler Bay, FL 33157
Phone (786) 483-5523

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGIHCD/Endpoint/JGIHCD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1144927146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NW 21ST ST APT 1112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427745",
            "telephone_number": "786-899-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NW 21ST ST APT 1112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427745",
            "telephone_number": "786-899-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULINO",
        "first_name": "ERICK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.