Active NPI
Neitza Darlene Casillas, MSW
- Clinical Social Worker
- Carolina, PR
National Provider Identifier
1750503256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14651
- Practice address
- Calle 609 Villa Carolina
Bloque 231 Casa 5
Carolina, PR 00985 - Phone
- (787) 752-5380
- Fax
- (787) 763-7515
- NPI assigned
- May 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14651 | PR | Primary |
Addresses
Primary practice location
Calle 609 Villa Carolina
Bloque 231 Casa 5
Carolina, PR 00985
Mailing address
Villa Carolina Calle 609
Bloque 231 Casa 5
Carolina, PR 00985
Phone (787) 752-5380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9568 | Other | PR | CLINIC |
Other names 1
- Miss Neitza Darlene Casillas
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1750503256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLA CAROLINA CALLE 609",
"address_2": "BLOQUE 231 CASA 5",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-752-5380",
"fax_number": "787-763-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 609 VILLA CAROLINA",
"address_2": "BLOQUE 231 CASA 5",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-752-5380",
"fax_number": "787-763-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASILLAS",
"first_name": "NEITZA",
"middle_name": "DARLENE",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "14651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC",
"identifier": "9568",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NEITZA",
"last_name": "CASILLAS",
"middle_name": "DARLENE",
"prefix": "MISS",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.