Individual provider Active NPI

Lily Pazy Mino, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1821710583
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20382 Issued in FL
Practice address
5805 Blue Lagoon Dr Ste 440
Miami, FL 33126-2032
Phone
(305) 929-0600
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 SW20382 FL Primary

Addresses

Primary practice location

5805 Blue Lagoon Dr Ste 440
Miami, FL 33126-2032

Mailing address

5805 Blue Lagoon Dr Ste 440
Miami, FL 33126-2032
Phone (410) 562-2002

Other practice location 1

161 Aragon Ave Ste E
Coral Gables, FL 33134-5424
Phone (410) 562-2002

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
SW20382FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1821710583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 BLUE LAGOON DR STE 440",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262032",
            "telephone_number": "410-562-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 BLUE LAGOON DR STE 440",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262032",
            "telephone_number": "305-929-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Aragon Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331345424",
            "country_code": "US",
            "telephone_number": "410-562-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZY MINO",
        "first_name": "LILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20382",
            "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 Sep 19, 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.

Verify at the official NPI Registry.