Individual provider Active NPI

Maikel Synclair Belfor, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1366881146
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11151 Issued in FL
Practice address
695 Central Ave Ste 202
St Petersburg, FL 33701-3662
Phone
(727) 490-2000
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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 SW11151 FL Primary

Addresses

Primary practice location

695 Central Ave Ste 202
St Petersburg, FL 33701-3662

Mailing address

695 Central Ave Ste 202
St Petersburg, FL 33701-3662
Phone (727) 490-2000

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1366881146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 CENTRAL AVE STE 202",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013662",
            "telephone_number": "727-490-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 CENTRAL AVE STE 202",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013662",
            "telephone_number": "727-490-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELFOR",
        "first_name": "MAIKEL",
        "middle_name": "SYNCLAIR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.