Active NPI
Tomas Fernando Fonseca, B.S
- Social Worker
- Vero Beach, FL
National Provider Identifier
1407109366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1986 31St Ave Ste 120
Vero Beach, FL 32960-6627 - Phone
- (561) 616-8411
- NPI assigned
- Oct 16, 2012
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
1986 31St Ave Ste 120
Vero Beach, FL 32960-6627
Mailing address
6725 NW Dorothy St
Port St Lucie, FL 34983-1411
Phone (561) 667-1354
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Behavioral Health Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Okeechobee, FL
- NPI 1083381552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1407109366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6725 NW DOROTHY ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349831411",
"telephone_number": "561-667-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1986 31ST AVE STE 120",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606627",
"telephone_number": "561-616-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "TOMAS",
"middle_name": "FERNANDO",
"credential": "B.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.