Active NPI
Miriam Nayeli Ascencio, LCSW
- Social Worker
- Virginia Beach, VA
National Provider Identifier
1467981605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0904009835
- Practice address
- 120 Bowery St Apt 208
Virginia Beach, VA 23462-3757 - Phone
- (312) 610-2268
- NPI assigned
- Jun 10, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 149.016844 | IL | |
| Social Worker | 104100000X | 0904009835 | VA | Primary |
Addresses
Primary practice location
120 Bowery St Apt 208
Virginia Beach, VA 23462-3757
Mailing address
120 Bowery St Apt 208
Virginia Beach, VA 23462-3757
Phone (312) 610-2268
Other names 1
- Miriam Nayeli Sevilla
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 |
|---|---|---|---|
| 149.016844 | IL | MD | Social Worker |
| 0904009835 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497052800000",
"number": "1467981605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BOWERY ST APT 208",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623757",
"telephone_number": "312-610-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BOWERY ST APT 208",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623757",
"telephone_number": "312-610-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASCENCIO",
"first_name": "MIRIAM",
"middle_name": "NAYELI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-10",
"last_updated": "2017-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149.016844",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904009835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRIAM",
"last_name": "SEVILLA",
"middle_name": "NAYELI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Virginia Beach, VA
- Kendra Anissa Artis, RES IN COUNSELING
- Yolanda Michelle Artis, MA
- Daniel Bryan Aruch, M.D.
- Christine Asadourian
- Jordan Marie Acevedo Asban, B.S., COTA/L
- Ascending Minds Psychiatry, PLLC
- Ascension Addiction & Recovery LLC.
- Ascension Behavioral Health and Wellness
- Ashby Home Health Care LLC
- John Ottis Ashby Jr., DDS MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.