Individual provider Active NPI

Vanessa Azucena Tercero

  • Clinical Social Worker
  • Cutler Bay, FL
National Provider Identifier
1831803881
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20941 Issued in FL
Practice address
8424 SW 200TH Ter
Cutler Bay, FL 33189-2032
Phone
(305) 215-7600
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 SW20941 FL Primary

Addresses

Primary practice location

8424 SW 200TH Ter
Cutler Bay, FL 33189-2032

Mailing address

8424 SW 200TH Ter
Cutler Bay, FL 33189-2032
Phone (305) 215-7600

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
SW20941FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
VTS Therapeutic Services CurrentSince Jul 16, 2023 Accepting new patients

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": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1831803881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 SW 200TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892032",
            "telephone_number": "305-215-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 SW 200TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892032",
            "telephone_number": "305-215-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERCERO",
        "first_name": "VANESSA",
        "middle_name": "AZUCENA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.