Liset Fiallo, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW14095 Issued in FL

Practice address

14840 SW 149TH Ave
Miami, FL 33196-2334

Phone

(305) 283-5497

NPI assigned

Feb 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Actual Psych Group LLC

  • Clinical Social Worker
  • Hialeah, FL
  • NPI 1790224624
  Medicare reassignment Authorized official
• Ambar Community Group LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1740092576
  Medicare reassignment NPD
• CM Care Medical Center Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1497560403
  Medicare reassignment NPD
• Medical Research of Miami LLC

  • Adult Mental Health Clinic/Center
  • Miami, FL
  • NPI 1134904741
  Medicare reassignment NPD
• Mental Autonomy Inc

  • Case Management Agency
  • Davie, FL
  • NPI 1982170700
  Medicare reassignment NPD
• Good Life Community Center Corp

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1508688276
  NPD
• Mental Autonomy, Inc.

  • Case Management Agency
  • Davie, FL
  • NPI 1285301572
  NPD
• Harmony Community Center

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1710574488
  NPD (past)
• Novel Clinical Research Center, LLC

  • Neurology Physician
  • Miami, FL
  • NPI 1194293324
  NPD (past)

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

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1346789278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14840 SW 149TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962334",
            "telephone_number": "305-283-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14840 SW 149TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962334",
            "telephone_number": "305-283-5497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330101707",
            "country_code": "US",
            "telephone_number": "305-887-4163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIALLO",
        "first_name": "LISET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-12",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW14095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelin Fiallo Negrin
• Ana Maria Fiallo Romo
• Irma Raquel Fiallo, LCSW
• Jessie Fiallo
• Laura Fiallo, APRN
• Rodney J Fiallo, SLPA
• Dennise Fiallos
• Eugenio E Fiallos
• Oscar Fiandor, MA
• Fibers Neurological Institute, LLC (Neurofibers)

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.