Individual provider Active NPI

Paul Cecil Kilrain

  • Clinical Social Worker
  • Miami Beach, FL
National Provider Identifier
1851866339
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111711 Issued in MA
Practice address
1800 Purdy Ave Apt 1002
Miami Beach, FL 33139-1452
Phone
(786) 348-0288
NPI assigned
Oct 10, 2018
Last updated
Oct 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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 111711 MA Primary

Addresses

Primary practice location

1800 Purdy Ave Apt 1002
Miami Beach, FL 33139-1452

Mailing address

1800 Purdy Ave Apt 1002
Miami Beach, FL 33139-1452
Phone (786) 348-0288

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
111711MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1851866339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PURDY AVE APT 1002",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391452",
            "telephone_number": "786-348-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PURDY AVE APT 1002",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391452",
            "telephone_number": "786-348-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILRAIN",
        "first_name": "PAUL",
        "middle_name": "CECIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.