Individual provider Active NPI

Aabeda Haque Fatmi, MSW, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1245572650
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13187 Issued in FL
Practice address
1239 NW 34TH Ave
Miami, FL 33125-2835
Phone
(786) 360-2526
Fax
(786) 360-2526
NPI assigned
Mar 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW13187 FL
Clinical Social Worker 1041C0700X SW13187 FL Primary

Addresses

Primary practice location

1239 NW 34TH Ave
Miami, FL 33125-2835

Mailing address

1239 NW 34TH Ave
Miami, FL 33125-2835
Phone (305) 890-7132

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
I20200626000078 FL Practitioner - Clinical Social Worker 3476975186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Gardens Counseling Service LLCGroup PAC ID 9638507361, 2 clinicians

Practice addresses (Care Compare)

20295 NW 2ND Ave
Suite 302
Miami Gardens, FL 33169-2550

20535 NW 2ND Ave
Miami Gardens, FL 33169-2547
Phone (305) 900-3475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13187FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Gardens Counseling Service LLC CurrentSince Apr 15, 2020 Accepting new patients
SH Medical Care of Florida PA Past Accepting new patients

Locations

20535 NW 2nd Ave
Ste 125
Miami Gardens, FL 33169
Phone (786) 541-5472

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, 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": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1245572650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 NW 34TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252835",
            "telephone_number": "305-890-7132",
            "fax_number": "786-360-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 NW 34TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252835",
            "telephone_number": "786-360-2526",
            "fax_number": "786-360-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATMI",
        "first_name": "AABEDA",
        "middle_name": "HAQUE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-23",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW13187",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.