Active NPI
Mauricio Vargas
- Clinical Social Worker
- Doral, FL
National Provider Identifier
1336508001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW1826
- Practice address
- 8600 NW 41St St
Doral, FL 33166-6202 - Phone
- (305) 642-5366
- NPI assigned
- Feb 23, 2016
- Last updated
- Jan 19, 2018
- 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 | ISW1826 | FL | Primary |
Addresses
Primary practice location
8600 NW 41St St
Doral, FL 33166-6202
Mailing address
8600 NW 41St St
Doral, FL 33166-6202
Phone (305) 642-5366
Other practice location 1
4045 Sheridan Ave
Suite 236
Miami Beach, FL 33140-3665
Phone (305) 397-8255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMHP50204 | Other | CERTIFIED MENTAL HEALTH PROFESSIONAL | |
| CAP2113 | Other | CERTIFIED ADDICTION PROFESSIONAL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW1826 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1336508001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 NW 41ST ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331666202",
"telephone_number": "305-642-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 NW 41ST ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331666202",
"telephone_number": "305-642-5366"
}
],
"practiceLocations": [
{
"address_1": "4045 Sheridan Ave",
"address_2": "Suite 236",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331403665",
"country_code": "US",
"telephone_number": "305-397-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS",
"first_name": "MAURICIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-23",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW1826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED MENTAL HEALTH PROFESSIONAL",
"identifier": "CMHP50204",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ADDICTION PROFESSIONAL",
"identifier": "CAP2113",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
- Roxana G Vargas Lemus, DDS
- Daniela Vargas
- Daniella M Vargas
- Gloria Elsa Vargas
- Maria Vargas
- Nahima Vargas
- Variety Children's Hospital (MCH Specialists)
- Variety Children's Hospital (Nicklaus Children's Doral Outpatient Center)
- Variety Children's Hospital (MCH Specialists- Orthopedic Surgery)
- Variety Childrens Hospital (MCH Radiology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.