Active NPI
Marcheley Adam, PHD, LCSW
- Clinical Social Worker
- Doral, FL
National Provider Identifier
1508003369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10889
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111355900 | Medicaid | FL |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Behavioral Center, Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Doral, FL
- NPI 1912334863
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.