Edmundo Castillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8865 Issued in FL

Practice address

11034 W Flagler St
Miami, FL 33174-1222

Phone

(786) 744-1321

NPI assigned

Sep 27, 2006

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rega Mental Health Center, LLC

  • Community/Behavioral Health Agency
  • Coral Springs, FL
  • NPI 1932389319
  Medicare reassignment NPD
• Castillo Case Mgmts, Inc

  • Clinical Social Worker
  • Coconut Grove, FL
  • NPI 1760839138
  NPD (past) Authorized official
• Relief Therapy Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1356936520
  NPD
• Relief Therapy Corp

  • Case Management Agency
  • Miami, FL
  • NPI 1871262964
  NPD
• D & D Psych

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1376887752
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1578654497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 NW 3RD ST APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254631",
            "telephone_number": "305-316-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11034 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741222",
            "telephone_number": "786-744-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "EDMUNDO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW8865",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116883200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016154100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dauvinia Castillo
• David Noel Castillo
• Dayami Castillo
• Dayana Castillo
• Diana Rosa Castillo
• Emily Castillo
• Evert Castillo, MD
• Fatima G Castillo
• Felicia Castillo, RBT
• Fiorella Paola Castillo, LMHC

• Clinical Social Worker in Miami, FL
• Providers in Miami, 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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.