Active NPI
Marisel Quintero Garcia, CBHCMS
- Social Worker
- Tampa, FL
National Provider Identifier
1386223972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CBHCMS100933
- Practice address
- 5225 Ehrlich Rd Ste E
Tampa, FL 33624-2066 - Phone
- (786) 227-6830
- NPI assigned
- Apr 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CBHCMS100933 | FL | Primary |
Addresses
Primary practice location
5225 Ehrlich Rd Ste E
Tampa, FL 33624-2066
Mailing address
6110 Oak Cluster Cir
Tampa, FL 33634-2343
Phone (813) 531-0852
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 |
|---|---|---|---|
| CBHCMS100933 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1386223972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 OAK CLUSTER CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336342343",
"telephone_number": "813-531-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 EHRLICH RD STE E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336242066",
"telephone_number": "786-227-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTERO GARCIA",
"first_name": "MARISEL",
"credential": "CBHCMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "CBHCMS100933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.