Miguel Jose Barillas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17051 Issued in FL

Practice address

1330 Coral Way Ste 307
Miami, FL 33145-2945

Phone

(786) 393-4677

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1750504155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CORAL WAY STE 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452945",
            "telephone_number": "786-393-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CORAL WAY STE 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452945",
            "telephone_number": "786-393-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Saint Marks Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100037902",
            "country_code": "US",
            "telephone_number": "212-982-3470",
            "fax_number": "212-477-0521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARILLAS",
        "first_name": "MIGUEL",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "999999",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Bardoo
• Lee-Anna Bardun
• Lissy Barea Romero
• Ursula Barea
• Barbara Baric
• Yudit Barja Hernandez
• Kaylee Marie Barker
• Heather Block Barkin, M.D.
• Jamie S. Barkin, MD
• Jodie Adam Barkin, M.D.

• Clinical Social Worker in Miami, FL
• Providers in Miami, 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 Apr 7, 2020; 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.