Jesus Antonio Vasquez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12836 Issued in FL

Practice address

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875

Phone

(954) 885-9500

Fax

(954) 885-9444

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Transformative Healthcare Solutions IncGroup PAC ID 8921337973, 27 clinicians

Practice addresses (Care Compare)

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.

• Transformative Healthcare Solutions Inc

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1477114031
  Medicare reassignment Care Compare group NPD
• Balanced Wellbeing LLC

  • Psychiatry Physician
  • Ocala, FL
  • NPI 1336513639

  Clinical

  Medicare reassignment NPD
• Mental Health Center of Florida PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1679021414
  Medicare reassignment NPD
• Transformative Healthcare Solutions Central LLC

  • Clinical Psychologist
  • Orange City, FL
  • NPI 1407680002
  Medicare reassignment NPD
• Transformative Healthcare Solutions East LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1861227993
  Medicare reassignment NPD
• Transformative Healthcare Solutions Gold Coast LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1720814536
  Medicare reassignment NPD
• Transformative Healthcare Solutions North LLC

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1205661337
  Medicare reassignment NPD
• Transformative Healthcare Solutions South LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1265265193
  Medicare reassignment NPD
• Transformative Healthcare Solutions West LLC

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1700610508
  Medicare reassignment NPD
• Advanced Psychiatric Health Inc

  • Psychiatry Physician
  • Wesley Chapel, FL
  • NPI 1861877144
  Medicare reassignment
• Pro Performance Physical Therapy LLC

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1215598529
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1184710527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JESUS",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766176200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Varvaro, D.O.
• Vasana Cheanvechai MD, LTD
• Vascular Specialists of Broward
• Marina Emily Vasilaros, D.M.D.
• Janessy Vasquez, MD
• Kathy Vasquez
• Lizette M Vasquez, COTA
• Boris Vasserman
• Amy H Vastine
• Delvia George Vathielil

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 24, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.