Individual provider Active NPI

Vianey S. Pelaez, LCSW

  • Clinical Social Worker
  • Clearwater, FL
National Provider Identifier
1497143473
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15092 Issued in FL
Practice address
51 S Main Ave Ste 304
Clearwater, FL 33765-3937
Phone
(727) 784-8244
NPI assigned
Dec 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X SW15092 FL Primary

Addresses

Primary practice location

51 S Main Ave Ste 304
Clearwater, FL 33765-3937

Mailing address

51 S Main Ave
Ste 304
Clearwater, FL 33765-3937
Phone (727) 784-8244

Other practice location 1

601 W 150th St
New York, NY 10031-2449
Phone (646) 707-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809001196 FL Practitioner - Clinical Social Worker 8921356825 Practice locations: Clearwater, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51 S Main Ave
Suite 304
Clearwater, FL 33765-3937
Phone (727) 784-8244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aldea Counseling Services LCSW PC Clinical PastSince Mar 31, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1497143473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S MAIN AVE",
            "address_2": "STE 304",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653937",
            "telephone_number": "727-784-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S MAIN AVE STE 304",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653937",
            "telephone_number": "727-784-8244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 150th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100312449",
            "country_code": "US",
            "telephone_number": "646-707-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELAEZ",
        "first_name": "VIANEY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.