Individual provider Active NPI

Wendy E Segovia

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1609507706
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18757 Issued in FL
Practice address
13301 SW 194TH Ave
Miami, FL 33196-1924
Phone
(786) 999-4830
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW18757 FL Primary

Addresses

Primary practice location

13301 SW 194TH Ave
Miami, FL 33196-1924

Mailing address

13301 SW 194TH Ave
Miami, FL 33196-1924
Phone (786) 999-4830

Other practice location 1

4175 W 20th Ave
Hialeah, FL 33012-5874
Phone (786) 999-4830

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240111003338 FL Practitioner - Clinical Social Worker 2163873308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18757FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network, Inc. CurrentSince Nov 4, 2023 Accepting new patients
Citrus Health Network Inc Current Accepting new patients
Citrus Health Network Inc CurrentSince Nov 4, 2023 Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

Organizations & group practices 3

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1609507706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 SW 194TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961924",
            "telephone_number": "786-999-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 SW 194TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961924",
            "telephone_number": "786-999-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 W 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125874",
            "country_code": "US",
            "telephone_number": "786-999-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGOVIA",
        "first_name": "WENDY",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-02-08",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.