Individual provider Active NPI

Doreen Marie Sanabria, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1346874864
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16958 Issued in FL
Practice address
4165 SW 51St St
Fort Lauderdale, FL 33314-5713
Phone
(954) 599-1234
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW16958 FL Primary

Addresses

Primary practice location

4165 SW 51St St
Fort Lauderdale, FL 33314-5713

Mailing address

4165 SW 51St St
Fort Lauderdale, FL 33314-5713
Phone (954) 599-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, MA, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211129002071 FL Practitioner - Clinical Social Worker 8022408459 Reassigns benefits to 2 organizations
I20230524001993 TX Practitioner - Clinical Social Worker 8022408459 Reassigns benefits to 2 organizations
I20230802001254 MA Practitioner - Clinical Social Worker 8022408459 Reassigns benefits to 1 organization
I20240809001621 DC Practitioner - Clinical Social Worker 8022408459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW16958FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 24, 2023 Accepting new patients
A & B Counseling LLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1346874864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 SW 51ST ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333145713",
            "telephone_number": "954-599-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 SW 51ST ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333145713",
            "telephone_number": "954-599-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANABRIA",
        "first_name": "DOREEN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.