Individual provider Active NPI

Mariana Castellanos Echevarria, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1194528067
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22430 Issued in FL
Practice address
2471 SW 10TH St
Miami, FL 33135-4800
Phone
(424) 210-2174
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW22430 FL Primary
Clinical Social Worker 1041C0700X 17646 SC
Clinical Social Worker 1041C0700X LICSW1121344 MA
Clinical Social Worker 1041C0700X C017539 NC

Addresses

Primary practice location

2471 SW 10TH St
Miami, FL 33135-4800

Mailing address

490 Conifer St
Sumter, SC 29154-5455

Other practice location 1

490 Conifer St
Sumter, SC 29154-5455
Phone (424) 210-2174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250904004028 SC Practitioner - Clinical Social Worker 0648772178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 Front St
Suite 300
Jupiter, FL 33477-5095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22430FLMDClinical Social Worker
LICSW1121344MAMDClinical Social Worker
C017539NCMDClinical Social Worker
17646SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Aug 1, 2025 Accepting new patients
Total Life FL PA CurrentSince Sep 21, 2025 Accepting new patients
Clinical Impressions LLC Clinical CurrentSince Mar 30, 2025 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1194528067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 CONIFER ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291545455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 SW 10TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354800",
            "telephone_number": "424-210-2174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Conifer St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291545455",
            "country_code": "US",
            "telephone_number": "424-210-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLANOS ECHEVARRIA",
        "first_name": "MARIANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22430",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17646",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1121344",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.