Michell Fuentes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17327 Issued in FL

Practice address

3850 W Flagler St
Coral Gables, FL 33134-1604

Phone

(305) 774-3300

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1548852494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9768 NW 129TH TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330187411",
            "telephone_number": "305-773-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341604",
            "telephone_number": "305-774-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MICHELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Friedman
• Norman Orlando Fuentes Perez
• Cosette Fuentes Rodriguez, APRN, FNP-C
• Javier Fuentes Silva
• Marlen Vanessa Fuentes
• Noel Fuentes, RBT
• Celma Fujita
• Sandra Joaquina Fujita, L.C.S.W., A.R.N.P.
• Full Potential Management, LLC (Acorn Health)
• Kim Fuller, PH.D.

• Clinical Social Worker in Coral Gables, FL
• Providers in Coral Gables, 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 10, 2021; 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.