Individual provider Active NPI

Monique Martinez, LCSW

  • Clinical Social Worker
  • Doral, FL
National Provider Identifier
1790318855
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11874 Issued in FL
Practice address
9922 NW 41St St Unit 12
Doral, FL 33178-2388
Phone
(786) 246-9001
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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 SW11874 FL Primary

Addresses

Primary practice location

9922 NW 41St St Unit 12
Doral, FL 33178-2388

Mailing address

9922 NW 41St St Unit 12
Doral, FL 33178-2388
Phone (786) 246-9001

Other names 1

  • Monique Dominguez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mxd455@med.miami.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW11874FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1790318855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 NW 41ST ST UNIT 12",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782388",
            "telephone_number": "786-246-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 NW 41ST ST UNIT 12",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782388",
            "telephone_number": "786-246-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MONIQUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mxd455@med.miami.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "9922 NW 41st St Unit 12",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331782388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "DOMINGUEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.