Individual provider Active NPI

Carmen Michel Hernandez Castillo, LCSW

  • Clinical Social Worker
  • Lakeland, FL
National Provider Identifier
1679479471
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24800 Issued in FL
Practice address
2733 Highlands Vue Pkwy
Lakeland, FL 33812-5223
Phone
(425) 344-0379
NPI assigned
Oct 17, 2026
Last updated
Oct 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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 SW24800 FL Primary

Addresses

Primary practice location

2733 Highlands Vue Pkwy
Lakeland, FL 33812-5223

Mailing address

2733 Highlands Vue Pkwy
Lakeland, FL 33812-5223
Phone (425) 344-0379

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1679479471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 HIGHLANDS VUE PKWY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338125223",
            "telephone_number": "425-344-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 HIGHLANDS VUE PKWY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338125223",
            "telephone_number": "425-344-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CASTILLO",
        "first_name": "CARMEN",
        "middle_name": "MICHEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.