Active NPI
Brain Revamp Clinic LLC
- Clinical Social Worker
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BRAIN REVAMP CLINIC LLC
- Practice address
- 7900 SW 57TH Ave Ste 24
South Miami, FL 33143-5546 - Phone
- (305) 726-9757
- NPI assigned
- Mar 6, 2026
- Last updated
- Mar 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angelica V Romero, LCSW LICSW
- Title
- LCSW/Owner
- Phone
- (786) 383-2779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
7900 SW 57TH Ave Ste 24
South Miami, FL 33143-5546
Mailing address
14 NE 1St Ave Ste 14031225
Miami, FL 33132-2431
Phone (786) 383-2779
National Provider Directory
National Provider DirectoryLocations
14 NE 1st Ave
Ste 14031225
Miami, FL 33132
7900 SW 57th Ave
Ste 24
South Miami, FL 33143
Phone (305) 665-0804
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Miami, FL
- NPI 1437495660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772755200000",
"number": "1326994815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 NE 1ST AVE STE 14031225",
"city": "MIAMI",
"state": "FL",
"postal_code": "331322431",
"telephone_number": "786-383-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 SW 57TH AVE STE 24",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435546",
"telephone_number": "305-726-9757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAIN REVAMP CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-06",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A",
"authorized_official_last_name": "ROMERO",
"authorized_official_first_name": "ANGELICA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "LCSW/OWNER",
"authorized_official_telephone_number": "786-383-2779",
"authorized_official_credential": "LCSW LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.