Individual provider Active NPI

Maria Alejandra Zuluaga Diaz, MSW RCSWI

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1295405751
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22362 Issued in FL
Practice address
18918 Duquesne Dr
Tampa, FL 33647-3423
Phone
(813) 808-0096
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 ISW16194
Clinical Social Worker 1041C0700X SW22362 FL Primary

Addresses

Primary practice location

18918 Duquesne Dr
Tampa, FL 33647-3423

Mailing address

1527 Dale Mabry Hwy Ste 103
Lutz, FL 33548-3031
Phone (813) 434-3639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22362FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Shore Wellness LLC Clinical Current Accepting new patients
Yolanda Harper LCSW LLC Clinical PastSince Sep 23, 2021 Accepting new patients

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1295405751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 DALE MABRY HWY STE 103",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483031",
            "telephone_number": "813-434-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18918 DUQUESNE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473423",
            "telephone_number": "813-808-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULUAGA DIAZ",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "credential": "MSW RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "ISW16194",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.