NPIMap

Organization Active NPI

Mabel Castillo LCSW, PA

  • Clinical Social Worker
  • Avon Park, FL
National Provider Identifier
1457539017
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5315 Issued in FL
Legal business name
MABEL CASTILLO LCSW, PA
Practice address
1753 US Highway 27 N
Avon Park, FL 33825-9504
Phone
(863) 452-1325
Fax
(863) 452-1385
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mabel Castillo, LCSWNPI 1659316693
Title
President
Phone
(863) 452-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW5315 FL Primary

Addresses

Primary practice location

1753 US Highway 27 N
Avon Park, FL 33825-9504

Mailing address

1753 US Highway 27 N
Avon Park, FL 33825-9504
Phone (863) 452-1325

National Provider Directory

National Provider Directory

Locations

1753 US Highway 27 N
Avon Park, FL 33825
Phone (863) 452-1325

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1457539017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 US HIGHWAY 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259504",
            "telephone_number": "863-452-1325",
            "fax_number": "863-452-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 US HIGHWAY 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259504",
            "telephone_number": "863-452-1325",
            "fax_number": "863-452-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABEL CASTILLO LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-452-1325",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.