Individual provider Active NPI

Ana K Bulnes, LICSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1669651030
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18148 Issued in FL
Practice address
16782 SW 88TH St # 344
Miami, FL 33196-5934
Phone
(802) 557-1065
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 124193 MA
Clinical Social Worker 1041C0700X 106311 TX
Clinical Social Worker 1041C0700X LC21520 ME
Clinical Social Worker 1041C0700X 0890001176 VT
Clinical Social Worker 1041C0700X SW18148 FL Primary

Addresses

Primary practice location

16782 SW 88TH St # 344
Miami, FL 33196-5934

Mailing address

16782 SW 88TH St # 344
Miami, FL 33196-5934
Phone (802) 557-1065

Other identifiers 5

IdentifierTypeStateIssuer
106311OtherTXTX STATE LCSW
0890001176OtherVTVERMONT STATE LICENSE
124193OtherMAMA STATE LICSW
SW18148OtherFLFL STATE LCSW
LC21520OtherMEME STATE LCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18148FLMDClinical Social Worker
124193MAMDClinical Social Worker
LC21520MEMDClinical Social Worker
106311TXMDClinical Social Worker
0890001176VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartlogic Inc Current Accepting new patients

Locations

16782 SW 88th St
Miami, FL 33196
Phone (802) 557-1065

Organizations & group practices 1

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1669651030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16782 SW 88TH ST # 344",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965934",
            "telephone_number": "802-557-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16782 SW 88TH ST # 344",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965934",
            "telephone_number": "802-557-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULNES",
        "first_name": "ANA",
        "middle_name": "K",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124193",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106311",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC21520",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890001176",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE LCSW",
            "identifier": "106311",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT STATE LICENSE",
            "identifier": "0890001176",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE LICSW",
            "identifier": "124193",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LCSW",
            "identifier": "SW18148",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME STATE LCSW",
            "identifier": "LC21520",
            "state": "ME"
        }
    ],
    "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 Jun 21, 2023; 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.