Larisa Angelica Correa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW16314 Issued in FL

Practice address

400 Kings Point Dr Apt 504
Sunny Isles Beach, FL 33160-4733

Phone

(347) 738-1199

Fax

(800) 644-3085

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (1 of 2)

Networks

• Freedom Health HMO Network

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.

• Shine Medical of Ca PC

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1942935473
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1760811376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 CARLYLE AVE APT 4F",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331412006",
            "telephone_number": "347-738-1199",
            "fax_number": "800-655-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 KINGS POINT DR APT 504",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604733",
            "telephone_number": "347-738-1199",
            "fax_number": "800-644-3085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 Carlyle Ave Apt 4F",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331412006",
            "country_code": "US",
            "telephone_number": "347-738-1199",
            "fax_number": "631-615-2397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREA",
        "first_name": "LARISA",
        "middle_name": "ANGELICA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Ciola
• Circle of Friends Pediatrics, Inc
• Yurany Cobo Diaz
• Complete Health Care Inc
• Confident Care of Florida Corp
• Glenda Cruz Vico
• Rosemeen Qadir Daood, D.M.D.
• Gabriella Dauer
• Sandra M Davila
• Nicole Page Davis

• All providers in Sunny Isles Beach, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.