Individual provider Active NPI

Michael Tuch, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1396942967
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5114 Issued in FL
Practice address
9000 SW 87TH CT
Suite 110
Miami, FL 33176-2231
Phone
(305) 598-6640
Fax
(305) 598-6640
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW5114 FL Primary

Addresses

Primary practice location

9000 SW 87TH CT
Suite 110
Miami, FL 33176-2231

Mailing address

9000 SW 87TH CT
Suite 110
Miami, FL 33176-2231
Phone (305) 598-6640

Other identifiers 3

IdentifierTypeStateIssuer
SW5114OtherFLLIC NUMBER
1041C0700XOtherFLCLINICAL SW TAXONOMY
Z8504OtherFLBC BS OF FL

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

LicenseStateTypeSpecialty
SW5114FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396942967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 87TH CT",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762231",
            "telephone_number": "305-598-6640",
            "fax_number": "305-598-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 87TH CT",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762231",
            "telephone_number": "305-598-6640",
            "fax_number": "305-598-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCH",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NUMBER",
            "identifier": "SW5114",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SW TAXONOMY",
            "identifier": "1041C0700X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF FL",
            "identifier": "Z8504",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.