Individual provider Active NPI

Millie Joan Ito Cuevas, LCSW

  • Clinical Social Worker
National Provider Identifier
1811161540
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8938 Issued in FL
Practice address
86 MDG
Unit 3215
Apo, AE 09094
Phone
(314) 479-2390
NPI assigned
Apr 14, 2008
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW8938 FL Primary

Addresses

Primary practice location

86 MDG
Unit 3215
Apo, AE 09094

Mailing address

9400 4TH St N Ste 200
St Petersburg, FL 33702-2501
Phone (813) 508-7866

Other practice location 1

9400 4th St N Ste 200
St Petersburg, FL 33702-2501
Phone (813) 508-7866

Other names 1

  • Joana Cuevas Professional 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
I20240831000361 FL Practitioner - Clinical Social Worker 8022557289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Clover, LLCGroup PAC ID 5496290033, 14 clinicians

Practice addresses (Care Compare)

9400 4TH St N
Suite 200
St Petersburg, FL 33702-2501
Phone (727) 513-2962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8938FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Clover, LLC Single Specialty CurrentSince Jul 26, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 29, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9400 4th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 513-2962

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1811161540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 4TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022501",
            "telephone_number": "813-508-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "86 MDG",
            "address_2": "UNIT 3215",
            "city": "APO",
            "state": "AE",
            "postal_code": "09094",
            "telephone_number": "314-479-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 4th St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337022501",
            "country_code": "US",
            "telephone_number": "813-508-7866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITO CUEVAS",
        "first_name": "MILLIE",
        "middle_name": "JOAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANA",
            "last_name": "CUEVAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.