Individual provider Active NPI

Rosa Ozema Beltre, LCSW

  • Clinical Social Worker
  • Kissimmee, FL
National Provider Identifier
1194765065
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14860 Issued in FL
Practice address
719 E Oak St
Kissimmee, FL 34744-4580
Phone
(407) 846-0533
Fax
(407) 518-1730
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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 074272-1 NY
Clinical Social Worker 1041C0700X SW14860 FL Primary

Addresses

Primary practice location

719 E Oak St
Kissimmee, FL 34744-4580

Mailing address

PO Box 420053
Kissimmee, FL 34742-0053
Phone (646) 842-9244

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
I20171228001692 FL Practitioner - Clinical Social Worker 0143228031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Behavioral Healthcare LLCGroup PAC ID 7810162740, 12 clinicians

Practice addresses (Care Compare)

717 E Oak St
Kissimmee, FL 34744-4580
Phone (407) 846-0533

719 E Oak St
Kissimmee, FL 34744-4580
Phone (407) 846-0533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW14860FLMDClinical Social Worker
074272-1NYMDClinical Social Worker

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Mindful Behavioral Healthcare, LLC CurrentSince Oct 10, 2017 Accepting new patients
Mindful Integrated Medicine LLC Past Accepting new patients

Locations

717 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

719 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

711 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rosa.beltre.1@22714.direct.athenahealth.com

Organizations & group practices 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1194765065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420053",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347420053",
            "telephone_number": "646-842-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444580",
            "telephone_number": "407-846-0533",
            "fax_number": "407-518-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRE",
        "first_name": "ROSA",
        "middle_name": "OZEMA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074272-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.