Individual provider Active NPI

Myriam Yadira Ayala, LICENSED CLINICAL SO

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1760907737
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14650 Issued in FL
Practice address
1000 Brickell Avenue
Suite 715
Miami, FL 33131
Phone
(786) 791-3080
Fax
(786) 590-1931
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085303-1 NY
Clinical Social Worker 1041C0700X SW14650 FL Primary

Addresses

Primary practice location

1000 Brickell Avenue
Suite 715
Miami, FL 33131

Mailing address

1000 Brickell Avenue- PMB 1431
Suite 715
Miami, FL 33131
Phone (786) 791-3080

Other names 1

  • Mrs. Myriam Y. Ayala Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210119001702 FL Practitioner - Clinical Social Worker 1153734884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Brickell Ave
Suite 715
Miami, FL 33131-3047
Phone (786) 791-3080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW14650FLMDClinical Social Worker
085303-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusion Online Therapy Clinical CurrentSince Sep 9, 2020 Accepting new patients

Locations

1000 Brickell Ave
Ste 715
Miami, FL 33131
Phone (786) 791-3080

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1760907737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRICKELL AVENUE- PMB 1431",
            "address_2": "SUITE 715",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33131",
            "telephone_number": "786-791-3080",
            "fax_number": "786-590-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRICKELL AVENUE",
            "address_2": "SUITE 715",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33131",
            "telephone_number": "786-791-3080",
            "fax_number": "786-590-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "MYRIAM",
        "middle_name": "YADIRA",
        "name_prefix": "Mrs.",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2024-04-17",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085303-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRIAM",
            "last_name": "AYALA",
            "middle_name": "Y.",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.