Individual provider Active NPI

Rene Garcell, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1356580724
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8075 Issued in FL
Practice address
10911 SW 104 Street
309
Miami, FL 33176-3375
Phone
(305) 409-6786
NPI assigned
Feb 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW8075 FL Primary

Addresses

Primary practice location

10911 SW 104 Street
309
Miami, FL 33176-3375

Mailing address

10911 SW 104 Street
# 309
Miami, FL 33176-3375
Phone (305) 409-6786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR, OR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100909000687 FL Practitioner - Clinical Social Worker 4789709155 Reassigns benefits to 1 organization
Practice locations: Miami, FL
I20250729003537 AR Practitioner - Clinical Social Worker 4789709155
I20250801003617 OR Practitioner - Clinical Social Worker 4789709155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

8031 N Tranquility Lake Dr
Delray Beach, FL 33446-3449
Phone (561) 221-5696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8075FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince May 12, 2024 Accepting new patients
V-Cap Clinical PastSince Dec 3, 2009 Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1356580724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10911 SW 104 STREET",
            "address_2": "# 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763375",
            "telephone_number": "305-409-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10911 SW 104 STREET",
            "address_2": "309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763375",
            "telephone_number": "305-409-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCELL",
        "first_name": "RENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.