Individual provider Active NPI

Miriam Nieves, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1396212486
Registry record updated Oct 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7293 Issued in FL
Practice address
6501 Magic Way BLDG 700
Orlando, FL 32809-5677
Phone
(407) 317-3700
Fax
(407) 318-3020
NPI assigned
Oct 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2018

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 SW7293 FL Primary

Addresses

Primary practice location

6501 Magic Way BLDG 700
Orlando, FL 32809-5677

Mailing address

5256 Watervista Dr
Orlando, FL 32821-5540
Phone (407) 928-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200817001191 FL Practitioner - Clinical Social Worker 4486070893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW7293FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delsy a. Guzman Counselling Service,Inc. CurrentSince Jun 18, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

5390 Hoffner Ave
Ste H
Orlando, FL 32812
Phone (407) 270-4849

Interoperability endpoints

  • Direct secure messaging: miriamnieves@tdh.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1540598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540598400000",
    "number": "1396212486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5256 WATERVISTA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328215540",
            "telephone_number": "407-928-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 MAGIC WAY BLDG 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095677",
            "telephone_number": "407-317-3700",
            "fax_number": "407-318-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-27",
        "last_updated": "2018-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.