Individual provider Active NPI

Alicia Alvarenga

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1396562591
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23591 Issued in FL
Practice address
12818 SW 8TH St Unit 2062
Miami, FL 33184-1309
Phone
(786) 309-7547
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 23591 FL Primary

Addresses

Primary practice location

12818 SW 8TH St Unit 2062
Miami, FL 33184-1309

Mailing address

12818 SW 8TH St Unit 2062
Miami, FL 33184-1309
Phone (786) 309-7547

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
I20241028002076 FL Practitioner - Clinical Social Worker 7416480579 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23591FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Eternity Medical Group Corp CurrentSince Oct 8, 2024 Accepting new patients
Ydzm Business Group LLC Clinical Past Accepting new patients

Locations

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

900 SW 8th St
Ste C1
Miami, FL 33130
Phone (786) 332-3136

Organizations & group practices 3

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1396562591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12818 SW 8TH ST UNIT 2062",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841309",
            "telephone_number": "786-309-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 SW 8TH ST UNIT 2062",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841309",
            "telephone_number": "786-309-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARENGA",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "23591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.