Carmen Farah Juneidi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021508 Issued in IL

Practice address

68 SE 6TH St Apt 3103
Miami, FL 33131-3495

Phone

(312) 767-4224

NPI assigned

Oct 25, 2019

Reactivated

Nov 27, 2019

Last updated

Oct 16, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CF Juneidi LCSW LLC

  dba Purple Tree Counseling

  • Clinical Social Worker
  • Miami, FL
  • NPI 1134763477
  Authorized official Same address or phone

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1184267775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 SE 6TH ST APT 3103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313495",
            "telephone_number": "312-767-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SE 6TH ST APT 3103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313495",
            "telephone_number": "312-767-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEIDI",
        "first_name": "CARMEN",
        "middle_name": "FARAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "deactivation_date": "2019-10-29",
        "reactivation_date": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto Alexis Junco, CST/CFA
• Stella Junco
• Nathali E Juncosa Garcia
• Chabely Juncosa Hernandez, RBT
• Jennifer Juncosa, LMHC
• Diane Jung
• John Hyunsuk Jung, MD, MS
• Marcos A Junges, ARNP
• Anna K Junk, MD
• Yanelin Junque Daubar

• Clinical Social Worker in Miami, FL
• Providers in Miami, 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 Oct 16, 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.

Verify at the official NPI Registry.