Individual provider Active NPI

Diana Maria Rodriguez Blandino, CBHCMS

  • Social Worker
  • Miami, FL
National Provider Identifier
1730732876
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
5757 Waterford District Dr Ste 172
Miami, FL 33126-2076
Phone
(619) 538-5281
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Social Worker 104100000X Primary

Addresses

Primary practice location

5757 Waterford District Dr Ste 172
Miami, FL 33126-2076

Mailing address

5757 Waterford District Dr Ste 172
Miami, FL 33126-2076
Phone (786) 353-2616

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Solutions Agency, LLC Community/Behavioral Health CurrentSince Oct 1, 2021 Accepting new patients
Lifetime Solutions Agency, LLC Community/Behavioral Health CurrentSince Jan 22, 2021 Accepting new patients

Locations

801 S Federal Hwy
Ste 835
Dania Beach, FL 33004
Phone (954) 613-7683

5757 Waterford District Dr
Ste 172
Miami, FL 33126
Phone (786) 353-2616

Organizations & group practices 2

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1730732876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WATERFORD DISTRICT DR STE 172",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262076",
            "telephone_number": "786-353-2616",
            "fax_number": "786-524-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WATERFORD DISTRICT DR STE 172",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262076",
            "telephone_number": "619-538-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BLANDINO",
        "first_name": "DIANA",
        "middle_name": "MARIA",
        "credential": "CBHCMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 9, 2024; 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.