Individual provider Active NPI

Lisandra A Canetti, LCSW

  • Clinical Social Worker
  • Homestead, FL
National Provider Identifier
1619220571
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22817 Issued in FL
Practice address
3759 NE 15TH St
Homestead, FL 33033-5575
Phone
(786) 317-1282
NPI assigned
Oct 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 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 SW22817 FL Primary

Addresses

Primary practice location

3759 NE 15TH St
Homestead, FL 33033-5575

Mailing address

3759 NE 15TH St
Homestead, FL 33033-5575
Phone (786) 317-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241209003404 FL Practitioner - Clinical Social Worker 4385170794 Reassigns benefits to 2 organizations
I20250107003665 MA Practitioner - Clinical Social Worker 4385170794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical and Behavioral Health Services LLCGroup PAC ID 0840666103, 4 clinicians

Practice addresses (Care Compare)

8955 SW 87TH CT
Suite 212
Miami, FL 33176-2223
Phone (786) 840-3454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22817FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medical and Behavioral Health Services LLC CurrentSince Jun 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 6, 2024 Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients
Maria I Lopez MD PA Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8955 SW 87th Ct
Ste 212
Miami, FL 33176
Phone (305) 412-1967

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

Organizations & group practices 4

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": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1619220571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335575",
            "telephone_number": "786-317-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3759 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335575",
            "telephone_number": "786-317-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANETTI",
        "first_name": "LISANDRA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.