Individual provider Active NPI

Liliana L Uribe, LCSW

  • Clinical Social Worker
  • Doral, FL
National Provider Identifier
1619394111
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11599 Issued in FL
Practice address
2555 NW 102ND Ave Ste 205
Doral, FL 33172-2131
Phone
(786) 635-9058
Fax
(305) 489-8065
NPI assigned
Mar 21, 2014
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW11599 FL
Clinical Social Worker 1041C0700X SW11599 FL Primary
Behavior Analyst 103K00000X SW11599 FL

Addresses

Primary practice location

2555 NW 102ND Ave Ste 205
Doral, FL 33172-2131

Mailing address

15372 SW 9TH Way
Miami, FL 33194-2781
Phone (786) 635-9058

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
I20140423000394 FL Practitioner - Clinical Social Worker 6305078585 Reassigns benefits to 2 organizations
Practice locations: Doral, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11599FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Biomed Wellness Center LLC CurrentSince Apr 1, 2025 Accepting new patients
Holistic Minds Collective Clinical CurrentSince Feb 11, 2024 Accepting new patients
United Counseling Associates, Inc. Behavior Analyst CurrentSince Feb 1, 2022 Accepting new patients
Vitalize Health Community Mental Corp CurrentSince Jul 1, 2025 Accepting new patients
Rosita Community Medical Center Inc Past Accepting new patients
Live Life Unlimited Counseling LLC Mental Health Past Accepting new patients

Locations

2555 NW 102nd Ave
Ste 205
Doral, FL 33172
Phone (305) 489-8065

2555 NW 102nd Ave
Ste 210
Doral, FL 33172
Phone (305) 975-3126

14221 SW 120th St
Ste 218
Miami, FL 33186
Phone (786) 542-5184

14750 SW 26th St
Ste 214
Miami, FL 33185
Phone (786) 309-9990

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIIIDD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1619394111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15372 SW 9TH WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942781",
            "telephone_number": "786-635-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 NW 102ND AVE STE 205",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722131",
            "telephone_number": "786-635-9058",
            "fax_number": "305-489-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBE",
        "first_name": "LILIANA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW11599",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11599",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "SW11599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.