Individual provider Active NPI

Josefina Perez-Castro, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1184739567
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0001315 Issued in FL
Practice address
5001 SW 74TH CT
Suite #104
Miami, FL 33155-4452
Phone
(305) 663-0013
Fax
(305) 663-8138
NPI assigned
Aug 19, 2006
Last updated
Nov 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW0001315 FL Primary

Addresses

Primary practice location

5001 SW 74TH CT
Suite #104
Miami, FL 33155-4452

Mailing address

5001 SW 74TH CT
Suite #104
Miami, FL 33155-4452
Phone (305) 663-0013

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
I20110204000257 FL Practitioner - Clinical Social Worker 4688862865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5001 SW 74TH Court
Suite 104
Miami, FL 33155-4452

5001 SW 74TH CT
Suite 104
Miami, FL 33155-4452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0001315FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Josefina Perez-Castro, PA CurrentSince Dec 10, 2009 Accepting new patients

Locations

5001 SW 74th Ct
Ste 105
Miami, FL 33155
Phone (305) 559-5085

5001 SW 74th Ct
Ste 104
Miami, FL 33155
Phone (305) 804-4205

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1184739567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SW 74TH CT",
            "address_2": "SUITE #104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554452",
            "telephone_number": "305-663-0013",
            "fax_number": "605-663-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SW 74TH CT",
            "address_2": "SUITE #104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554452",
            "telephone_number": "305-663-0013",
            "fax_number": "305-663-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-CASTRO",
        "first_name": "JOSEFINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0001315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.