Active NPI
Social Wellness Advocacy Group, LLC
Doing business as Swag
- Case Manager/Care Coordinator
- Miami Shores, FL
National Provider Identifier
1467005538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tekisha Durand, RCSWI
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952785388 | Medicaid | FL |
Other names 1
- SWAG
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- North Miami, FL
- NPI 1952785388
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.