Habibi Elbard Feliciano Perez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20812 Issued in FL

Practice address

924 N Magnolia Ave Ste 202
Orlando, FL 32803-3220

Phone

(386) 847-6645

NPI assigned

Dec 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Calming Tides Therapy LLC

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1376382101
  NPD Authorized official

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1366153397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N MAGNOLIA AVE STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033220",
            "telephone_number": "386-847-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N MAGNOLIA AVE STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033220",
            "telephone_number": "386-847-6645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Baltimore Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328105424",
            "country_code": "US",
            "telephone_number": "386-251-6916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELICIANO PEREZ",
        "first_name": "HABIBI",
        "middle_name": "ELBARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "SW20812",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Feldman
• Yelizaveta Feldman, DMD
• Nidia Feliberti, LCSW
• Nidia Xaymara Feliberti
• Kianna Vivianna Feliciano Mercado
• Nahir Arleen Feliciano-Mendez, DPT
• Gerardo Feliciano-Vasquez, MD
• Aitza Giselle Feliciano, M.S. CF-SLP
• Darien Feliciano
• Esther Feliciano, BS

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.