Active NPI
Niyer Jessel Caballero, LICSW
- Clinical Social Worker
- Hollywood, FL
National Provider Identifier
1376139683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1141336
- Practice address
- 4300 Sheridan St Apt 238
Hollywood, FL 33021-3527 - Phone
- (954) 793-9732
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW25274 | FL | |
| Clinical Social Worker | 1041C0700X | 1141336 | MA | Primary |
Addresses
Primary practice location
4300 Sheridan St Apt 238
Hollywood, FL 33021-3527
Mailing address
6428 NW Leafmore LN
Port St Lucie, FL 34987-5851
Phone (954) 793-9732
Other practice location 1
299 Lincoln St Ste 201
Worcester, MA 01605-3646
Phone (774) 206-1125
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW25274 | FL | MD | Clinical Social Worker |
| 1141336 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Behavioral Associates Inc. | Past | Accepting new patients | |
| Northeast Behavioral Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Child & Adolescent Psychologist
- North Andover, MA
- NPI 1659382315
-
- Community/Behavioral Health Agency
- North Dartmouth, MA
- NPI 1346692936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1376139683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6428 NW LEAFMORE LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349875851",
"telephone_number": "954-793-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 SHERIDAN ST APT 238",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213527",
"telephone_number": "954-793-9732"
}
],
"practiceLocations": [
{
"address_1": "299 Lincoln St Ste 201",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016053646",
"country_code": "US",
"telephone_number": "774-206-1125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABALLERO",
"first_name": "NIYER",
"middle_name": "JESSEL",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW25274",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1141336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.