Active NPI
Mariber Caraballo
- Social Worker
- West Palm Beach, FL
National Provider Identifier
1578098380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330 - Phone
- (561) 712-8821
- NPI assigned
- Apr 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1168 | PR | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330
Mailing address
1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330
Phone (561) 712-8821
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1168 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1578098380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 FORUM PL STE 7",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012330",
"telephone_number": "561-712-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 FORUM PL STE 7",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012330",
"telephone_number": "561-712-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABALLO",
"first_name": "MARIBER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-30",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PR",
"license": "1168",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.