Active NPI
Amarilis P Orta Mateo, CBHCM
- Social Worker
- Sweetwater, FL
National Provider Identifier
1457842338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CCM100064
- Practice address
- 1414 NW 107TH Ave Ste 109
Sweetwater, FL 33172-2739 - Phone
- (786) 762-2952
- Fax
- (786) 762-2953
- NPI assigned
- May 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CCM100064 | FL | Primary |
Addresses
Primary practice location
1414 NW 107TH Ave Ste 109
Sweetwater, FL 33172-2739
Mailing address
11780 SW 18TH St Apt 209
Miami, FL 33175-1671
Phone (305) 606-4571
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 |
|---|---|---|---|
| CCM100064 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1457842338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11780 SW 18TH ST APT 209",
"city": "MIAMI",
"state": "FL",
"postal_code": "331751671",
"telephone_number": "305-606-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 NW 107TH AVE STE 109",
"city": "SWEETWATER",
"state": "FL",
"postal_code": "331722739",
"telephone_number": "786-762-2952",
"fax_number": "786-762-2953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTA MATEO",
"first_name": "AMARILIS",
"middle_name": "P",
"credential": "CBHCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-25",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "CCM100064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sweetwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.