Individual provider Active NPI

Jessica Barbara Alonso, LCSW

  • Clinical Social Worker
  • Coral Gables, FL
National Provider Identifier
1649936659
Registry record updated Nov 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14320 Issued in FL
Practice address
55 Merrick Way Apt 623
Coral Gables, FL 33134-5131
Phone
(305) 815-2202
NPI assigned
Nov 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2021

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 SW14320 FL Primary

Addresses

Primary practice location

55 Merrick Way Apt 623
Coral Gables, FL 33134-5131

Mailing address

55 Merrick Way Apt 623
Coral Gables, FL 33134-5131
Phone (305) 815-2202

Other names 1

  • Mrs. Jessica Barbara Alonso-Kovacs Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

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": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636848000000",
    "number": "1649936659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERRICK WAY APT 623",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345131",
            "telephone_number": "305-815-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERRICK WAY APT 623",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345131",
            "telephone_number": "305-815-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "JESSICA",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ALONSO-KOVACS",
            "middle_name": "BARBARA",
            "prefix": "MRS.",
            "credential": "LCSW CCM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.