Active NPI
Johana Vanessa Cubas Osorio, LCSW
- Clinical Social Worker
- Oakland Park, FL
National Provider Identifier
1619614245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW19496
- Practice address
- 1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400 - Phone
- (954) 561-6222
- Fax
- (954) 990-7650
- NPI assigned
- May 16, 2022
- Last updated
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW19496 | FL | Primary |
Addresses
Primary practice location
1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Mailing address
1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222
Other practice location 1
7261 Sheridan St Ste 100B
Hollywood, FL 33024-2708
Phone (954) 561-6222
Other practice location 2
7369 Sheridan St Ste 101
Hollywood, FL 33024-2776
Phone (954) 561-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114616100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1619614245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E OAKLAND PARK BLVD STE 210",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344400",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E OAKLAND PARK BLVD STE 210",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344400",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650"
}
],
"practiceLocations": [
{
"address_1": "7261 Sheridan St Ste 100B",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330242708",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7369 Sheridan St Ste 101",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330242776",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUBAS OSORIO",
"first_name": "JOHANA",
"middle_name": "VANESSA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW19496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114616100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.