Individual provider Active NPI

Alecia Anetia Embden, LCSW

  • Clinical Social Worker
  • Miramar, FL
National Provider Identifier
1508489675
Registry record updated May 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17014 Issued in FL
Practice address
3865 SW 90TH Ave
Miramar, FL 33025-7619
Phone
(786) 280-0641
NPI assigned
May 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17014 FL Primary

Addresses

Primary practice location

3865 SW 90TH Ave
Miramar, FL 33025-7619

Mailing address

3865 SW 90TH Ave
Miramar, FL 33025-7619
Phone (786) 280-0641

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

LicenseStateTypeSpecialty
17014FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1590278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590278400000",
    "number": "1508489675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 SW 90TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257619",
            "telephone_number": "786-280-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 SW 90TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257619",
            "telephone_number": "786-280-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBDEN",
        "first_name": "ALECIA",
        "middle_name": "ANETIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-24",
        "last_updated": "2020-05-24",
        "certification_date": "2020-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "17014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2020; 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.