Individual provider Active NPI

Juan Antonio Herrera Ramirez, MSW

  • Clinical Social Worker
  • Daytona Beach, FL
National Provider Identifier
1548954282
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW14002 Issued in FL
Practice address
1776 N Williamson Blvd
Daytona Beach, FL 32117-5250
Phone
(076) 644-7542
Fax
(407) 513-9822
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X SW23441 FL
Clinical Social Worker 1041C0700X ISW14002 FL Primary

Addresses

Primary practice location

1776 N Williamson Blvd
Daytona Beach, FL 32117-5250

Mailing address

464 Jordan Stuart Cir Apt 106
Apopka, FL 32703-2408
Phone (407) 752-2731

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
ISW14002FLMDClinical Social Worker
SW23441FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Vamc CurrentSince Aug 25, 2024 Accepting new patients

Locations

551 National Health Care Dr
Daytona Beach, FL 32114
Phone (386) 323-7541

1776 N Williamson Blvd
Daytona Beach, FL 32117
Phone (386) 323-7534

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.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1548954282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 JORDAN STUART CIR APT 106",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327032408",
            "telephone_number": "407-752-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N WILLIAMSON BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175250",
            "telephone_number": "076-644-7542",
            "fax_number": "407-513-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA RAMIREZ",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23441",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW14002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.