Active NPI
Kevin Donald Hurley, LCSW
- Clinical Social Worker
- Coral Gables, FL
National Provider Identifier
1306149570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9449
- Practice address
- 3850 W Flagler St
Coral Gables, FL 33134-1604 - Phone
- (305) 774-3300
- Fax
- (305) 475-2650
- NPI assigned
- Dec 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW9449 | FL | Primary |
Addresses
Primary practice location
3850 W Flagler St
Coral Gables, FL 33134-1604
Mailing address
11031 NE 6TH Ave
Miami, FL 33161-7182
Phone (305) 398-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003027700 | Medicaid | FL |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Behavioral Health Center Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1306149570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11031 NE 6TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331617182",
"telephone_number": "305-398-6100",
"fax_number": "305-757-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 W FLAGLER ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341604",
"telephone_number": "305-774-3300",
"fax_number": "305-475-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "KEVIN",
"middle_name": "DONALD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-10",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003027700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.