Madeline Fontanez Nieves

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW18768 Issued in FL

Practice address

7823 N Dale Mabry Hwy Ste 106
Tampa, FL 33614-3273

Phone

(813) 570-5803

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Counseling the Soul LLC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1508323148
  NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1750165395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7863 BRISTOL PARK DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721521",
            "telephone_number": "813-893-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7823 N DALE MABRY HWY STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143273",
            "telephone_number": "813-570-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ NIEVES",
        "first_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW18768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmilia Fontaine, PHARMD
• Jacques-Pierre Fontaine, M.D.
• Manita Fontaine
• Alexandra Fontana
• Nicole Charleen Fontanet
• Jessica Fontanez, MASSAGE THERAPIST
• Justin Efrain Fontanez
• Keila Fonte Cabrera
• Danairis Fonte Lago, RBT
• Jennifer Fonte-Vargas

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.