Individual provider Active NPI

Giselle Correa Garcia, CBHCM-S

  • Social Worker
  • Hialeah, FL
National Provider Identifier
1821821901
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CBHCMS101238 Issued in FL
Practice address
4445 W 16TH Ave Ste 405
Hialeah, FL 33012-7803
Phone
(786) 233-6721
Fax
(786) 703-5179
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CBHCMS101238 FL Primary

Addresses

Primary practice location

4445 W 16TH Ave Ste 405
Hialeah, FL 33012-7803

Mailing address

15590 SW 106TH LN Apt 1102
Miami, FL 33196-3503

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
CBHCMS101238FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Managed Mental Health LLC CurrentSince Aug 25, 2024 Accepting new patients

Locations

4445 W 16th Ave
Ste 405
Hialeah, FL 33012
Phone (786) 233-6721

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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1821821901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15590 SW 106TH LN APT 1102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 405",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127803",
            "telephone_number": "786-233-6721",
            "fax_number": "786-703-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA GARCIA",
        "first_name": "GISELLE",
        "credential": "CBHCM-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "CBHCMS101238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.