Individual provider Active NPI

Laura Armide Jeanis, MSW, LCSW, LICSW

  • Clinical Social Worker
  • Miramar, FL
National Provider Identifier
1285167742
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20897 Issued in FL
Practice address
13173 SW 44TH St
Miramar, FL 33027-3114
Phone
(305) 929-3349
NPI assigned
Apr 11, 2017
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC24279 ME
Clinical Social Worker 1041C0700X LC200003833 DC
Clinical Social Worker 1041C0700X SW20897 FL Primary

Addresses

Primary practice location

13173 SW 44TH St
Miramar, FL 33027-3114

Mailing address

13173 SW 44TH St
Miramar, FL 33027-3114
Phone (754) 280-8805

Other identifiers 1

IdentifierTypeStateIssuer
591775062MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20230126003176 FL Practitioner - Clinical Social Worker 5193196210 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VM Counseling Services Inc. CurrentSince Sep 15, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 15, 2022 Accepting new patients
Jeanis Holistic Psychotherapy, LLC Clinical CurrentSince Feb 8, 2023 Accepting new patients
Divine Love Wellness Enterprises LLC Clinical CurrentSince Feb 9, 2025 Accepting new patients
Synergy Wellness of Florida Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9050 Pines Blvd
Ste 305
Pembroke Pines, FL 33024
Phone (754) 283-9665

Organizations & group practices 5

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1285167742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13173 SW 44TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273114",
            "telephone_number": "754-280-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13173 SW 44TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273114",
            "telephone_number": "305-929-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANIS",
        "first_name": "LAURA",
        "middle_name": "ARMIDE",
        "credential": "MSW, LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC24279",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003833",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "591775062",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.