Organization Active NPI

Brain Revamp Clinic LLC

  • Clinical Social Worker
  • South Miami, FL
National Provider Identifier
1326994815
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Angelica V Romero, LCSW LICSWNPI 1437495660
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.