Organization Active NPI

Fraga LCSW & Associates, P.a.

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1659794295
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6706 Issued in FL
Legal business name
FRAGA LCSW & ASSOCIATES, P.A.
Practice address
9495 SW 72ND St
B294
Miami, FL 33173-3253
Phone
(305) 510-9575
Fax
(305) 424-7530
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Gloria Kelley
Title
Assistant
Phone
(305) 279-5785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW6706 FL Primary

Addresses

Primary practice location

9495 SW 72ND St
B294
Miami, FL 33173-3253

Mailing address

9495 SW 72ND St
B294
Miami, FL 33173-3253
Phone (305) 510-9575

National Provider Directory

National Provider Directory

Locations

9495 SW 72nd St
Ste B294
Miami, FL 33173
Phone (305) 305-5819

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1659794295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 SW 72ND ST",
            "address_2": "B294",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733253",
            "telephone_number": "305-510-9575",
            "fax_number": "305-424-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 SW 72ND ST",
            "address_2": "B294",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733253",
            "telephone_number": "305-510-9575",
            "fax_number": "305-424-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAGA LCSW & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "305-279-5785"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.