Individual provider Active NPI

Dmitriy Trojanov, LCSW

  • Clinical Social Worker
  • North Miami Beach, FL
National Provider Identifier
1205792165
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25916 Issued in FL
Practice address
2075 NE 164TH St
North Miami Beach, FL 33162-4167
Phone
(305) 741-9009
NPI assigned
Jan 5, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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 SW25916 FL Primary

Addresses

Primary practice location

2075 NE 164TH St
North Miami Beach, FL 33162-4167

Mailing address

2075 NE 164TH St Apt 704
North Miami Beach, FL 33162-4113
Phone (305) 741-9009

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW25916FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1205792165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 NE 164TH ST APT 704",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624113",
            "telephone_number": "305-741-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624167",
            "telephone_number": "305-741-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROJANOV",
        "first_name": "DMITRIY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.