Individual provider Active NPI

Mayra L Vargas

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1649755620
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18923 Issued in FL
Practice address
1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330
Phone
(561) 712-8821
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 SW18923 FL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330

Mailing address

3565 Forest Hill Blvd Apt 81
West Palm Beach, FL 33406-5890
Phone (561) 427-4581

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
I20211108002923 FL Practitioner - Clinical Social Worker 7618366964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 22, 2024 Accepting new patients
Multilingual Psychotherapy Centers, Inc. CurrentSince Nov 4, 2021 Accepting new patients
Legacy Behavioral Health Center Inc CurrentSince Nov 25, 2022 Accepting new patients
Legacy Behavioral Health Center Inc Clinical Current Accepting new patients

Locations

15818 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-0411

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

304 NW 5th St
#300
Okeechobee, FL 34972
Phone (863) 357-8268

518 SW Prima Vista Blvd
Port St Lucie, FL 34983
Phone (772) 344-2293

701 NW Federal Hwy
Ste 101
Stuart, FL 34994
Phone (772) 210-9454

1639 Forum Pl
Ste 7
West Palm Beach, FL 33401

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1649755620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 FOREST HILL BLVD APT 81",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065890",
            "telephone_number": "561-427-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 FORUM PL STE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012330",
            "telephone_number": "561-712-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "MAYRA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18923",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.