Active NPI
Teresa-Marie Edreira, LCSW
- Clinical Social Worker
- Miami, FL
National Provider Identifier
1447572219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11733
- Practice address
- 1201 NW 16TH St
Miami, FL 33125-1624 - Phone
- (305) 575-7000
- NPI assigned
- Feb 22, 2010
- Last updated
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081349 | NY | |
| Clinical Social Worker | 1041C0700X | SW11733 | FL | Primary |
Addresses
Primary practice location
1201 NW 16TH St
Miami, FL 33125-1624
Mailing address
1201 NW 16TH St
Miami, FL 33125-1624
Phone (305) 575-7000
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW11733 | FL | MD | Clinical Social Worker |
| 081349 | NY | MD | Clinical Social Worker |
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, 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": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1447572219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NW 16TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251624",
"telephone_number": "305-575-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NW 16TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251624",
"telephone_number": "305-575-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDREIRA",
"first_name": "TERESA-MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081349",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11733",
"primary": true
}
],
"identifiers": [],
"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 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.