Active NPI
Camila Sepulveda Barichivich, LCSW
- Clinical Social Worker
- Pinellas Park, FL
National Provider Identifier
1154180941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW22746
- Practice address
- 7550 43Rd St N
Pinellas Park, FL 33781-3601 - Phone
- (916) 833-0829
- NPI assigned
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW22746 | FL | Primary |
Addresses
Primary practice location
7550 43Rd St N
Pinellas Park, FL 33781-3601
Mailing address
Highpoint 14100 58TH Street North
Clearwater, FL 33760
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW22746 | FL | MD | Clinical Social Worker |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1154180941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HIGHPOINT 14100 58TH STREET NORTH",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 43RD ST N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813601",
"telephone_number": "916-833-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPULVEDA BARICHIVICH",
"first_name": "CAMILA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW22746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.