Individual provider Active NPI

Betty Marin Quintana

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1780923912
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19764 Issued in FL
Practice address
4215 SW 72ND Ave
Miami, FL 33155-4510
Phone
(305) 377-3297
Fax
(305) 377-3854
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW19764 FL Primary

Addresses

Primary practice location

4215 SW 72ND Ave
Miami, FL 33155-4510

Mailing address

8300 NW 168TH St
Miami Lakes, FL 33016-3467
Phone (786) 554-3817

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
I20260604003097 FL Practitioner - Clinical Social Worker 8921579558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8300 NW 168TH St
Miami Lakes, FL 33016-3467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW19764FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Syx, Corp. CurrentSince Aug 17, 2025 Accepting new patients

Locations

4215 SW 72nd Ave
Miami, FL 33155
Phone (305) 377-3297

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1780923912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 NW 168TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163467",
            "telephone_number": "786-554-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554510",
            "telephone_number": "305-377-3297",
            "fax_number": "305-377-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN QUINTANA",
        "first_name": "BETTY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.