Individual provider Active NPI

Susan Linda Nierenberg, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1679719793
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4360 Issued in FL
Practice address
9700 S Dixie Hwy
Suite 650
Miami, FL 33156-2800
Phone
(305) 670-1911
Fax
(305) 670-2049
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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 SW4360 FL Primary

Addresses

Primary practice location

9700 S Dixie Hwy
Suite 650
Miami, FL 33156-2800

Mailing address

9700 S Dixie Hwy
Suite 650
Miami, FL 33156-2800
Phone (305) 670-1911

Other identifiers 1

IdentifierTypeStateIssuer
1578522961MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Community Services of S.FL, Inc. Clinical Past Accepting new patients
Jewish Community Services of South Florida, Inc. PastSince Apr 6, 2025 Accepting new patients
Jewish Community Services of South Florida Past Accepting new patients

Organizations & group practices 3

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": "1229558400000",
    "number": "1679719793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 S DIXIE HWY",
            "address_2": "SUITE 650",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562800",
            "telephone_number": "305-670-1911",
            "fax_number": "305-670-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 S DIXIE HWY",
            "address_2": "SUITE 650",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562800",
            "telephone_number": "305-670-1911",
            "fax_number": "305-670-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERENBERG",
        "first_name": "SUSAN",
        "middle_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578522961",
            "state": "FL"
        }
    ],
    "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 Dec 18, 2008; 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.