Individual provider Active NPI

Dara Ariel Teller, LCSW

  • Clinical Social Worker
  • Coral Gables, FL
National Provider Identifier
1437870300
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20394 Issued in FL
Practice address
2600 S Douglas Rd Ste 1003
Coral Gables, FL 33134-6142
Phone
(305) 445-0477
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 SW20394 FL Primary

Addresses

Primary practice location

2600 S Douglas Rd Ste 1003
Coral Gables, FL 33134-6142

Mailing address

2600 S Douglas Rd Ste 1003
Coral Gables, FL 33134-6142
Phone (305) 445-0477

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL desktops Direct

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
SW20394FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1437870300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 1003",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346142",
            "telephone_number": "305-445-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 1003",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346142",
            "telephone_number": "305-445-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLER",
        "first_name": "DARA",
        "middle_name": "ARIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktops",
            "affiliation": "N",
            "endpointDescription": "a desktop or laptop computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2600 S Douglas Rd Ste 1003",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331346142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.