Roxana P. Cevallos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19181 Issued in FL

Practice address

22790 SW 112TH Ave
Miami, FL 33170-7602

Phone

(305) 235-2626

Fax

(305) 235-6178

NPI assigned

Jul 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Familia Medical Center Inc 2 clinicians

Florida Behavioral Center, Inc 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Florida Behavioral Center, Inc

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1912334863

  FL, Mental Health

  Medicare reassignment Care Compare group NPD
• La Familia Medical Center Inc

  • Nephrology Physician
  • Miami, FL
  • NPI 1134673411

  FL

  Medicare reassignment Care Compare group NPD
• Agape Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Miami, FL
  • NPI 1326191156

  FL

  Medicare reassignment NPD
• Balanced Wellbeing LLC

  • Psychiatry Physician
  • Ocala, FL
  • NPI 1336513639

  Clinical, FL

  Medicare reassignment NPD
• Hope 2020 Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1154947232

  FL, Mental Health

  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  FL

  Medicare reassignment NPD
• Mindcare Clinic, LLC

  • Clinical Social Worker
  • Fort Lauderdale, FL
  • NPI 1720885395

  Clinical

  NPD Authorized official
• Agape Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Miami, FL
  • NPI 1235736760
  NPD
• Cardentey Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Miami Lakes, FL
  • NPI 1881442978
  NPD
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Medical Central, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cape Coral, FL
  • NPI 1134628951

  Behavior Analyst

  NPD (past)
• Sky Is the Limit Marketing Services Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cutler Bay, FL
  • NPI 1740047190
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1760822811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 SW 153RD CT APT 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22790 SW 112TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331707602",
            "telephone_number": "305-235-2626",
            "fax_number": "305-235-6178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "941-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7640 SW 153rd Ct Apt 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331931794",
            "country_code": "US",
            "telephone_number": "786-799-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEVALLOS",
        "first_name": "ROXANA",
        "middle_name": "P.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW19181",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "19181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114010100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS PROVIDER",
            "identifier": "116946500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "19181",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zulema Zahily Cespedes, MD
• Star Cessant
• Dominique Cetale, MS CCC-SLP
• Nelly Alfonsina Cetraro, MD
• David Alexander Cevallos, M.D.
• Julio Cesar Cevares Alcantara, FNP-BC
• Cevares Medical Care, LLC
• Ceymar Corporation
• Dasheline Cezaire
• CF Juneidi LCSW LLC

• All providers in Miami, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.