Katia Valdes Vallejo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW22724 Issued in FL

Practice address

650 Palm Ave Apt 205
Hialeah, FL 33010-4388

Phone

(786) 656-5953

NPI assigned

Mar 6, 2024

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Medical Center IncGroup PAC ID 8820497423, 7 clinicians

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, FL

  Medicare reassignment Care Compare group NPD
• Progressive Medical Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1013592195

  FL

  Medicare reassignment Care Compare group NPD
• Wellbeing Oasis Community Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1760243273
  NPD
• Sweet Start Community Wellness Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
  • NPI 1528664786
  NPD (past)

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1194583096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PALM AVE APT 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104388",
            "telephone_number": "786-656-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PALM AVE APT 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104388",
            "telephone_number": "786-656-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES VALLEJO",
        "first_name": "KATIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regla Caridad Valdes Rodriquez
• Mildrey Maria Valdes Ruiz, RBT
• Daimy Valdes Serrano
• Ernesto Valdes Suarez
• Jeisy Valdes Valdes
• Lisbely Valdes-Meron Sr.
• Ada Valdes
• Alciner Valdes
• Alejandro Valdes
• Ana Vivian Valdes

• All providers in Hialeah, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.