Individual provider Active NPI

Georgianna Dacosta, SOCIAL WORKER

  • Social Worker
  • Homestead, FL
National Provider Identifier
1407461536
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
950 N Krome Ave Ste 408
Homestead, FL 33030-4443
Phone
(305) 246-0210
NPI assigned
Sep 15, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

950 N Krome Ave Ste 408
Homestead, FL 33030-4443

Mailing address

950 N Krome Ave Ste 408
Homestead, FL 33030-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Network, Inc. CurrentSince Aug 7, 2024 Accepting new patients
Agape Network, Inc. CurrentSince Aug 7, 2024 Accepting new patients

Locations

22790 SW 112th Ave
Miami, FL 33170
Phone (305) 235-2616

22790 SW 112th Ave
Fl Jail
Miami, FL 33170
Phone (305) 235-2616

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1407461536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE STE 408",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE STE 408",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304443",
            "telephone_number": "305-246-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACOSTA",
        "first_name": "GEORGIANNA",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.