Individual provider Active NPI

Christina Austin Valere, PH.D, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1679968564
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9374 Issued in FL
Practice address
4725 North Federal Highway
Bienes Comprehensive Cancer Center, 2ND Floor
Fort Lauderdale, FL 33308
Phone
(954) 267-7770
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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 SW9374 FL Primary

Addresses

Primary practice location

4725 North Federal Highway
Bienes Comprehensive Cancer Center, 2ND Floor
Fort Lauderdale, FL 33308

Mailing address

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 267-7770

Other identifiers 1

IdentifierTypeStateIssuer
SW9374OtherFLDEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1679968564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-267-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 NORTH FEDERAL HIGHWAY",
            "address_2": "BIENES COMPREHENSIVE CANCER CENTER, 2ND FLOOR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-267-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN VALERE",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "PH.D, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "SW9374",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.