Muriel Veronica Medina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16977 Issued in FL

Practice address

2801 NE 183Rd St Apt 907W
Aventura, FL 33160-2130

Phone

(305) 479-8619

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043

  Multi-Specialty

  Medicare reassignment NPD
• Aimergency Connectcare, LLC

  • Clinic/Center
  • Wylie, TX
  • NPI 1508546755

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1154949824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NE 183RD ST APT 907W",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 183RD ST APT 907W",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602130",
            "telephone_number": "305-479-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MURIEL",
        "middle_name": "VERONICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicament LLC
• Medidrive, LLC
• Carlos Reydell Medina, MD
• Karen Y Medina
• Kelly Maria Medina
• Yanelys Medina, APRN
• Medsmart Wellness Centers Inc.
• Jean Meetze, L.C.S.W.
• Daniel S Meister, DDS
• Ricardo Melendez, MD

• Clinical Social Worker in Aventura, FL
• Providers in Aventura, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.