Individual provider Active NPI

Marcheley Adam, PHD, LCSW

  • Clinical Social Worker
  • Doral, FL
National Provider Identifier
1508003369
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10889 Issued in FL
Practice address
8323 NW 12TH St Ste 108
Doral, FL 33126-1839
Phone
(305) 400-8511
Fax
(305) 392-0184
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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 SW10889 FL Primary
Social Worker 104100000X

Addresses

Primary practice location

8323 NW 12TH St Ste 108
Doral, FL 33126-1839

Mailing address

13241 NW 23Rd Ave
Miami, FL 33167-1326
Phone (305) 687-9428

Other practice location 1

2210 Pierce St
Hollywood, FL 33020-4414
Phone (305) 687-9428

Other identifiers 1

IdentifierTypeStateIssuer
111355900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavioral Center, Inc CurrentSince Jun 14, 2025 Accepting new patients

Locations

3501 Del Prado Blvd S
Ste 303
Cape Coral, FL 33904
Phone (239) 317-0265

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1508003369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 NW 23RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331671326",
            "telephone_number": "305-687-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261839",
            "telephone_number": "305-400-8511",
            "fax_number": "305-392-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Pierce St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330204414",
            "country_code": "US",
            "telephone_number": "305-687-9428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAM",
        "first_name": "MARCHELEY",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10889",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111355900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.