Individual provider Active NPI

Pablo Uriarte, LCSW

  • Clinical Social Worker
  • Sunrise, FL
National Provider Identifier
1669618849
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5901 Issued in FL
Practice address
1060 Sunset Strip
Sunrise, FL 33313-6106
Phone
(954) 394-3095
Fax
(954) 333-8621
NPI assigned
Dec 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 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 SW5901 FL Primary

Addresses

Primary practice location

1060 Sunset Strip
Sunrise, FL 33313-6106

Mailing address

19321 SW 14TH St
Pembroke Pines, FL 33029-6124
Phone (954) 394-3095

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
I20091110000330 FL Practitioner - Clinical Social Worker 3072548163 Practice locations: Lauderdale Lakes, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5901FLMDClinical Social Worker
046177NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Horizons Counseling Center, LLC Clinical Current Accepting new patients
Change Is an Adventure, LLC Current Accepting new patients
Active Community Health Center of Broward, Inc Current Accepting new patients
Chrysalis Center, LLC Past Accepting new patients

Locations

1060 Sunset Strip
Sunrise, FL 33313
Phone (954) 333-8787

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1669618849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19321 SW 14TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330296124",
            "telephone_number": "954-394-3095",
            "fax_number": "954-333-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136106",
            "telephone_number": "954-394-3095",
            "fax_number": "954-333-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIARTE",
        "first_name": "PABLO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.