Active NPI
Roxana Yasmin Carmenate, LCSW-QS, MSW
- Clinical Social Worker
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11438
- Practice address
- 9734 W Sample Rd # 200
Coral Springs, FL 33065-4004 - Phone
- (954) 903-1323
- Fax
- (954) 431-6993
- NPI assigned
- Oct 3, 2013
- Last updated
- Jul 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | SW11438 | FL | Primary |
Addresses
Primary practice location
9734 W Sample Rd # 200
Coral Springs, FL 33065-4004
Mailing address
1831 NW 104TH Ave
Pembroke Pines, FL 33026-2354
Phone (954) 200-2545
Other practice location 1
1831 NW 104th Ave
Pembroke Pines, FL 33026-2354
Phone (954) 200-2545
Other names 1
- Mrs. Roxana Yasmin Carmenate Pupo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9734 W Sample Rd
Coral Springs, FL 33065-4004
Phone (954) 903-1323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW11438 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Psychological Network, LLC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Neuro Wellness Centers of America, LLC | Current | Accepting new patients | |
| Total Family Health Care Center Inc | Mental Health | Past | Accepting new patients |
Locations
9734 W Sample Rd
Coral Springs, FL 33065
Phone (954) 903-1323
9734 W Sample Rd
#200
Coral Springs, FL 33065
Phone (954) 903-1323
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Coral Springs, FL
- NPI 1477051498
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Clinical Social Worker
- Pembroke Pines, FL
- NPI 1164361291
-
- Community/Behavioral Health Agency
- Sunrise, FL
- NPI 1174775662
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1861829954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 NW 104TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330262354",
"telephone_number": "954-200-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9734 W SAMPLE RD # 200",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654004",
"telephone_number": "954-903-1323",
"fax_number": "954-431-6993"
}
],
"practiceLocations": [
{
"address_1": "1831 NW 104th Ave",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330262354",
"country_code": "US",
"telephone_number": "954-200-2545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMENATE",
"first_name": "ROXANA",
"middle_name": "YASMIN",
"name_prefix": "Ms.",
"credential": "LCSW-QS, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROXANA",
"last_name": "CARMENATE PUPO",
"middle_name": "YASMIN",
"prefix": "MRS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.