Individual provider Active NPI

Marlene M Kastrinos, PHD, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1790774438
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5884 Issued in FL
Practice address
9408 SW 87TH Ave Ste 102
Miami, FL 33176-2416
Phone
(833) 769-3524
NPI assigned
Oct 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 SW5884 FL Primary

Addresses

Primary practice location

9408 SW 87TH Ave Ste 102
Miami, FL 33176-2416

Mailing address

9380 SW 72 St
Suite B 238
Miami, FL 33173-5489
Phone (305) 667-2430

Other practice location 1

9380 SW 72 St
Suite B 238
Miami, FL 33173-5489
Phone (305) 667-2430

Other identifiers 9

IdentifierTypeStateIssuer
7449266OtherFLAETNA
887512000MedicaidFL
110688OtherFLAMERIGROUP ID
256975OtherFLMANAGED HEALTH NETWORK
NZ710OtherFLEMPIRE BLUE CROSS
240335OtherFLWELLCARE
9222748OtherFLPRIVATE HEALTHCARE SYSTEM
PVPB 170322OtherFLAPS HEALTHCARE
192456OtherFLCOMPSYCH

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW5884FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Diagnostic of South Florida Inc PastSince Jul 24, 2022 Accepting new patients
Marlene M Kastrinos L C S W Clinical PastSince Jun 20, 2009 Accepting new patients

Organizations & group practices 2

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": "1129420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1790774438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 SW 72 ST",
            "address_2": "SUITE B 238",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735489",
            "telephone_number": "305-667-2430",
            "fax_number": "305-271-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 SW 87TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762416",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9380 SW 72 St",
            "address_2": "Suite B 238",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331735489",
            "country_code": "US",
            "telephone_number": "305-667-2430",
            "fax_number": "305-271-6773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASTRINOS",
        "first_name": "MARLENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-16",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7449266",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887512000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP ID",
            "identifier": "110688",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "256975",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "NZ710",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "240335",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "9222748",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HEALTHCARE",
            "identifier": "PVPB 170322",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "192456",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2024; 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.