Active NPI
Lourdes Morales Denis, TCM SUPERVISOR
- Behavior Analyst
- Miami, FL
National Provider Identifier
1790356137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-54653
- Practice address
- 9364 SW 37TH St
Miami, FL 33165-4124 - Phone
- (305) 345-4898
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-54653 | FL | Primary |
| Social Worker | 104100000X | CBHCM100344 | FL |
Addresses
Primary practice location
9364 SW 37TH St
Miami, FL 33165-4124
Mailing address
9364 SW 37TH St
Miami, FL 33165-4124
Phone (305) 345-4898
Other names 1
- Ms. Lourdes Morales Morales Denis
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
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM100344 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Behavioral Services Corp | Social Worker | Current | Accepting new patients |
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": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1790356137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9364 SW 37TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654124",
"telephone_number": "305-345-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9364 SW 37TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654124",
"telephone_number": "305-345-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES DENIS",
"first_name": "LOURDES",
"name_prefix": "Ms.",
"credential": "TCM SUPERVISOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-54653",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "CBHCM100344",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOURDES",
"last_name": "MORALES DENIS",
"middle_name": "MORALES",
"prefix": "MS.",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.