Individual provider Active NPI

Roselys M. Garcia Liberata, MSW

  • Clinical Social Worker
  • Kissimmee, FL
National Provider Identifier
1881187623
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13563 Issued in PR
Practice address
992 La Mirada CT
Kissimmee, FL 34744-7238
Phone
(787) 597-3444
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 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 13563 PR Primary

Addresses

Primary practice location

992 La Mirada CT
Kissimmee, FL 34744-7238

Mailing address

992 La Mirada CT
Kissimmee, FL 34744-7238
Phone (787) 597-3444

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
13563PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie M Cruz, LLC Clinical Current Accepting new patients

Locations

4741 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (407) 426-4319

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1881187623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 LA MIRADA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347447238",
            "telephone_number": "787-597-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 LA MIRADA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347447238",
            "telephone_number": "787-597-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA LIBERATA",
        "first_name": "ROSELYS",
        "middle_name": "M.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.