Active NPI
Pablo Uriarte, LCSW
- Clinical Social Worker
- Sunrise, FL
National Provider Identifier
1669618849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5901
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091110000330 | FL | Practitioner - Clinical Social Worker | 3072548163 | Practice locations: Lauderdale Lakes, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW5901 | FL | MD | Clinical Social Worker |
| 046177 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Sunrise, FL
- NPI 1407460298
-
- Community/Behavioral Health Agency
- Lauderdale Lakes, FL
- NPI 1043175599
-
- Clinical Social Worker
- Lauderdale Lakes, FL
- NPI 1851228332
-
dba Chrysalis Health
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1700961646
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
- United States Pharmaceutical Group LLC (Convey Health Solutions)
- Uno Wellness, Inc.
- Gary L. Unruh, CRNA
- Uplifting Counseling Services, LLC
- Urgent Care at Sawgrass Inc
- Vilma Uriarte
- Uro-Medix, Inc.
- Wendy Urso, PT
- Ursula's Haven Assisted Living Facility, Inc (Ursula's Haven II ALF)
- Ursula's Haven Assisted Living Facility, Inc (Ursula's Haven II ALF)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.