Organization Active NPI

Miriam Menendez, L.C.S.W., P.a.

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1316167232
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3857 Issued in FL
Legal business name
MIRIAM MENENDEZ, L.C.S.W., P.A.
Practice address
9480 SW 77TH Ave
Miami, FL 33156-7903
Phone
(305) 595-1616
Fax
(305) 595-7272
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Miriam Menendez, L.C.S.W.
Title
President
Phone
(305) 595-1616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW3857 FL Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X R024539 NY

Addresses

Primary practice location

9480 SW 77TH Ave
Miami, FL 33156-7903

Mailing address

9480 SW 77TH Ave
Miami, FL 33156-7903

National Provider Directory

National Provider Directory

Locations

9480 SW 77th Ave
Miami, FL 33156
Phone (305) 595-1616

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1316167232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 SW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 SW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567903",
            "telephone_number": "305-595-1616",
            "fax_number": "305-595-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM MENENDEZ, L.C.S.W., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-595-1616",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3857",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R024539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 7, 2014; 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.