Individual provider Active NPI

Yabercia A Perez-Cubillan, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1598917098
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19118 Issued in FL
Practice address
1800 Mercy Drive
Orlando, FL 32808
Phone
(407) 875-3700
Fax
(407) 623-1037
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076270-1 NY
Clinical Social Worker 1041C0700X SW19118 FL Primary

Addresses

Primary practice location

1800 Mercy Drive
Orlando, FL 32808

Mailing address

5151 Adanson St
Orlando, FL 32804-1330
Phone (407) 875-3701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076270-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Partners, Inc. CurrentSince Oct 25, 2023 Accepting new patients

Locations

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1598917098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 ADANSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041330",
            "telephone_number": "407-875-3701",
            "fax_number": "404-623-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MERCY DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32808",
            "telephone_number": "407-875-3700",
            "fax_number": "407-623-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-CUBILLAN",
        "first_name": "YABERCIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076270-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.