Individual provider Active NPI

Meryl Lyn Delena, LCSW

  • Clinical Social Worker
  • Aventura, FL
National Provider Identifier
1194724781
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6052 Issued in FL
Practice address
2801 NE 213TH St Ste 1215
Aventura, FL 33180-1267
Phone
(833) 769-3524
NPI assigned
Jul 18, 2005
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3491 GA
Clinical Social Worker 1041C0700X SW6052 FL Primary

Addresses

Primary practice location

2801 NE 213TH St Ste 1215
Aventura, FL 33180-1267

Mailing address

450 Al Henderson Blvd
# 3002
Savannah, GA 31419-6034
Phone (912) 921-0947

Other practice location 1

230 Duncan Dr
Building 1440
Savannah, GA 31409-5102
Phone (912) 352-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6052FLMDClinical Social Worker
3491GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Personal Recovery Network LLC CurrentSince Mar 11, 2025 Accepting new patients
Eastern Wellness Center, PC Past Accepting new patients

Locations

2801 NE 213th St
Ste 1215
Aventura, FL 33180
Phone (786) 648-6161

Interoperability endpoints

  • Direct secure messaging: meryldelena@tdh.allscriptsdirect.net

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, 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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1194724781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 AL HENDERSON BLVD",
            "address_2": "# 3002",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314196034",
            "telephone_number": "912-921-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 1215",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801267",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Duncan Dr",
            "address_2": "Building 1440",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314095102",
            "country_code": "US",
            "telephone_number": "912-352-6430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELENA",
        "first_name": "MERYL",
        "middle_name": "LYN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "3491",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.