Organization Active NPI

Social Wellness Advocacy Group, LLC

Doing business as Swag

  • Case Manager/Care Coordinator
  • Miami Shores, FL
National Provider Identifier
1467005538
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SOCIAL WELLNESS ADVOCACY GROUP, LLC
Doing business as
Swag
Practice address
41 NE 95TH St
Miami Shores, FL 33138-2706
Phone
(786) 707-5713
NPI assigned
Jul 18, 2019
Last updated
Jul 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Tekisha Durand, RCSWINPI 1952785388
Title
Ceo/Director
Phone
(786) 707-5713

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

41 NE 95TH St
Miami Shores, FL 33138-2706

Mailing address

890 NW 213TH Ter Apt 203
Miami Gardens, FL 33169-2181
Phone (786) 707-5713

Other identifiers 1

IdentifierTypeStateIssuer
1952785388MedicaidFL

Other names 1

  • SWAG Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1467005538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 NW 213TH TER APT 203",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692181",
            "telephone_number": "786-707-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NE 95TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382706",
            "telephone_number": "786-707-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL WELLNESS ADVOCACY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "DURAND",
        "authorized_official_first_name": "TEKISHA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "786-707-5713",
        "authorized_official_credential": "RCSWI"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952785388",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWAG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.