Martesha Daesha Collins

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

654 NE 9TH PL
Homestead, FL 33030-4934

Phone

(305) 248-3488

NPI assigned

Jul 23, 2018

Last updated

Dec 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1548747637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22215 SW 114TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331704721",
            "telephone_number": "786-438-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 NE 9TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304934",
            "telephone_number": "305-248-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8350 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331444180",
            "country_code": "US",
            "telephone_number": "305-262-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARTESHA",
        "middle_name": "DAESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CERTIFICATION BOARD",
            "identifier": "CBHCM102315-P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lenia De la Caridad Collazo Gonzalez
• Deilin Carolina Collazo
• Lizette Collazo
• Rosendo Collazo, D.O.
• Angel Collins, LAC
• Juan Gabriel Colome, OTR/L
• Aleyka Colon Perea
• Lyllymar Colon Rodriguez
• Lesmer Colon
• Gloria Milena Colorado Botero

• Social Worker in Homestead, FL
• Providers in Homestead, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.