Individual provider Active NPI

Maria Cordoba, LCSW

  • Clinical Social Worker
  • Miami Shores, FL
National Provider Identifier
1740126564
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16334 Issued in FL
Practice address
1030 NE 107TH St
Miami Shores, FL 33161-7355
Phone
(404) 704-2609
Fax
(404) 704-2609
NPI assigned
Apr 24, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 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 SW16334 FL Primary

Addresses

Primary practice location

1030 NE 107TH St
Miami Shores, FL 33161-7355

Mailing address

1030 NE 107TH St
Miami Shores, FL 33161-7355
Phone (404) 704-2609

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

LicenseStateTypeSpecialty
SW16334FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1740126564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NE 107TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331617355",
            "telephone_number": "404-704-2609",
            "fax_number": "404-704-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NE 107TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331617355",
            "telephone_number": "404-704-2609",
            "fax_number": "404-704-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOBA",
        "first_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.