Organization Active NPI

Lourdes U Botana

Doing business as dianoia counseling services

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1316130719
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5528 Issued in FL
Legal business name
LOURDES U BOTANA
Doing business as
dianoia counseling services
Practice address
9260 Sunset Dr
Suite 207
Miami, FL 33173-3275
Phone
(305) 630-9386
Fax
(305) 630-9018
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Lourdes U Botana, LCSW
Title
President
Phone
(305) 630-9386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW 5528 FL Primary

Addresses

Primary practice location

9260 Sunset Dr
Suite 207
Miami, FL 33173-3275

Mailing address

9260 Sunset Dr
Suite 207
Miami, FL 33173-3275
Phone (305) 630-9386

Other identifiers 1

IdentifierTypeStateIssuer
SW5528OtherFLPROFESSIONAL LICENSE

Other names 1

  • dianoia counseling services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1316130719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 SUNSET DR",
            "address_2": "SUITE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733275",
            "telephone_number": "305-630-9386",
            "fax_number": "305-630-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 SUNSET DR",
            "address_2": "SUITE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733275",
            "telephone_number": "305-630-9386",
            "fax_number": "305-630-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES U BOTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BOTANA",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-630-9386",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "SW5528",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dianoia counseling services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.