Individual provider Active NPI

Safiyah R Davis-Rosario, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1760810394
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11957 Issued in FL
Practice address
3246 N. Miami Avenue
Suite a #370585
Miami, FL 33137-2871
Phone
(862) 237-8088
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW11957 FL
Clinical Social Worker 1041C0700X SW11957 FL Primary
Social Worker 104100000X 44SL05647500 NJ

Addresses

Primary practice location

3246 N. Miami Avenue
Suite a #370585
Miami, FL 33137-2871

Mailing address

3246 N. Miami Avenue
Suite a #370585
Miami, FL 33137-2871
Phone (862) 237-8088

Other names 1

  • Ms. Safiyah R Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05647500NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1760810394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 N. MIAMI AVENUE",
            "address_2": "SUITE A #370585",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372871",
            "telephone_number": "862-237-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 N. MIAMI AVENUE",
            "address_2": "SUITE A #370585",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372871",
            "telephone_number": "862-237-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-ROSARIO",
        "first_name": "SAFIYAH",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW11957",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11957",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05647500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAFIYAH",
            "last_name": "DAVIS",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.