Individual provider Active NPI

Cristina Pomo Sansac, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1821118852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 7168 Issued in FL
Practice address
9555 N Kendall Dr
Suite 107
Miami, FL 33176-1978
Phone
(305) 480-1014
Fax
(305) 270-6325
NPI assigned
Mar 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCSW 7168 FL Primary

Addresses

Primary practice location

9555 N Kendall Dr
Suite 107
Miami, FL 33176-1978

Mailing address

10870 SW 32ND St
Miami, FL 33165-2424
Phone (305) 283-7813

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

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821118852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10870 SW 32ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652424",
            "telephone_number": "305-283-7813",
            "fax_number": "305-808-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 N KENDALL DR",
            "address_2": "SUITE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761978",
            "telephone_number": "305-480-1014",
            "fax_number": "305-270-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSAC",
        "first_name": "CRISTINA",
        "middle_name": "POMO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "LCSW 7168",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.