Deitria L Bishop, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11363 Issued in FL

Practice address

17501 SW 117TH Ave
Miami, FL 33177-2272

Phone

(305) 254-9759

Fax

(305) 256-0037

NPI assigned

Jul 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Deitria L Dawson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children's Home Society

  • Foster Care Agency
  • Miami, FL
  • NPI 1407175060
  NPD (past)
• Children's Home Society of Florida

  • Case Management Agency
  • Miami, FL
  • NPI 1790459766
  NPD (past)

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1508154964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW 15TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361412",
            "telephone_number": "305-755-6500",
            "fax_number": "305-372-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772272",
            "telephone_number": "305-254-9759",
            "fax_number": "305-256-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "DEITRIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW 4702",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEITRIA",
            "last_name": "DAWSON",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Biscayne Optical LLC
• Biscayne Villa Assisted Living Facility, Inc.
• Sophia Mae Bisch
• Amanda Biscoito, MSW
• Rafik Maged Naguib Bishara, MBBCH
• Ian Joseph Bishop, MD, MPH
• Patricia A Bishop, ARNP-BC
• Rachel Bishop, ARNP
• Shelley M Bishop, B.S. SLPA
• Nanette H Bishopric, MD

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.