Individual provider Active NPI

Noemi P Kohan, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1417934365
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1473 Issued in FL
Practice address
782 NW 42ND Ave Ste 533
Miami, FL 33126-5548
Phone
(305) 632-0160
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 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 SW1473 FL Primary

Addresses

Primary practice location

782 NW 42ND Ave Ste 533
Miami, FL 33126-5548

Mailing address

1915 Brickell Ave
Apt C 1210
Miami, FL 33129-1793
Phone (305) 632-0160

Other practice location 1

7811 Coral Way Ste 106
Miami, FL 33155-6540
Phone (305) 412-0138 ext. 8106

Other identifiers 1

IdentifierTypeStateIssuer
767376100MedicaidFL

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
I20080516000403 FL Practitioner - Clinical Social Worker 8628156932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Barry University School of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Morning Star Centers Inc.Group PAC ID 8729169537, 3 clinicians

Practice addresses (Care Compare)

7811 Coral Way
Suite 106
Miami, FL 33155-6540
Phone (305) 412-0138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morning Star Centers Inc. CurrentSince Aug 1, 2018 Accepting new patients
Noemi Kupersmit Kohan LCSW Past Accepting new patients

Locations

7811 SW 24th St
Ste 106
Miami, FL 33155
Phone (305) 264-1294

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1417934365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 BRICKELL AVE",
            "address_2": "APT C 1210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291793",
            "telephone_number": "305-632-0160",
            "fax_number": "305-412-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE STE 533",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265548",
            "telephone_number": "305-632-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7811 Coral Way Ste 106",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331556540",
            "country_code": "US",
            "telephone_number": "305-412-0138 x8106",
            "fax_number": "305-412-0140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHAN",
        "first_name": "NOEMI",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767376100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.