Individual provider Active NPI

Clicile Dormeus, LCSW

  • Clinical Social Worker
  • Lauderhill, FL
National Provider Identifier
1295178705
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11310 Issued in FL
Practice address
3810 Inverrary Blvd Ste 404a
Lauderhill, FL 33319-4381
Phone
(954) 892-4723
Fax
(954) 507-7408
NPI assigned
Apr 15, 2013
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW11310 FL
Clinical Social Worker 1041C0700X SW11310 FL Primary

Addresses

Primary practice location

3810 Inverrary Blvd Ste 404a
Lauderhill, FL 33319-4381

Mailing address

2170 NW 85TH Ave
Sunrise, FL 33322-3816
Phone (954) 892-4723

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
I20151202001547 FL Practitioner - Clinical Social Worker 6901106699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 8628981925, shared by 12 NPIs, 56 clinicians

Practice addresses (Care Compare)

15055 NW 27 Ave
Opa Locka, FL 33054-3365
Phone (786) 466-2800

1695 Nw9Th Ave
Miami, FL 33136-1409
Phone (305) 955-8234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jul 29, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jul 29, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jul 29, 2025 Accepting new patients

Locations

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

15055 NW 27th Ave
Opa Locka, FL 33054
Phone (786) 466-2701

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1295178705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 NW 85TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223816",
            "telephone_number": "954-892-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 INVERRARY BLVD STE 404A",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194381",
            "telephone_number": "954-892-4723",
            "fax_number": "954-507-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMEUS",
        "first_name": "CLICILE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW11310",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.