Nancy Mireya Palacios, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12166 Issued in FL

Practice address

1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402

Phone

(954) 265-5324

NPI assigned

Jul 15, 2019

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Carranza Former name

Medicare fee-for-service enrollment

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Pathway Therapy

  • Clinical Social Worker
  • Plantation, FL
  • NPI 1750151007
  NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MT

  Medicare reassignment

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1679125132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NW 103RD AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241625",
            "telephone_number": "786-280-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 JOE DIMAGGIO DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215402",
            "telephone_number": "954-265-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Winderley Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517133",
            "country_code": "US",
            "telephone_number": "315-873-2936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "513 NW 103rd Ave",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333241625",
            "country_code": "US",
            "telephone_number": "561-877-1092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 N Nob Hill Rd # 328",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333241708",
            "country_code": "US",
            "telephone_number": "561-877-1092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "NANCY",
        "middle_name": "MIREYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "CARRANZA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marien Pajon
• Melanie Pajon, PA
• Kourosh Pakzad, MD
• Orlay Palacio
• Guillermo A Palacios, M.D.
• Raphael Arturo Palacios, APRN
• Arthur E Palamara, MD
• Palisades Medical Center
• Kelsey Palladino, RN
• Palm Beach Pediatrics, LLC (Bluebird Kids Health)

• Clinical Social Worker in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.

Verify at the official NPI Registry.