Active NPI
Maria Teresa Illana, CBHCMS
- Social Worker
- Homestead, FL
National Provider Identifier
1710760905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0102726
- Practice address
- 15600 SW 288TH St Ste 100a
Homestead, FL 33033-1200 - Phone
- (305) 972-6677
- Fax
- (305) 964-8981
- NPI assigned
- Aug 14, 2023
- Last updated
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 103934 | FL | |
| Social Worker | 104100000X | 0102726 | FL | Primary |
Addresses
Primary practice location
15600 SW 288TH St Ste 100a
Homestead, FL 33033-1200
Mailing address
15600 SW 288TH St Ste 100a
Homestead, FL 33033-1200
Phone (305) 972-6677
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102726 | FL | MD | Social Worker |
| 103934 | FL | MD | Case Management Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Social Attend Corp | Case Management | Current | Accepting new patients |
Locations
15600 SW 288th St
Ste 100A
Homestead, FL 33033
Phone (305) 972-6677
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1710760905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 SW 288TH ST STE 100A",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331200",
"telephone_number": "305-972-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 SW 288TH ST STE 100A",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331200",
"telephone_number": "305-972-6677",
"fax_number": "305-964-8981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILLANA",
"first_name": "MARIA",
"middle_name": "TERESA",
"name_prefix": "Miss",
"credential": "CBHCMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "FL",
"license": "103934",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "0102726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.