Individual provider Active NPI

Anna Vanderbiest, LCSW, CMC

  • Clinical Social Worker
  • Doral, FL
National Provider Identifier
1891107249
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11851 Issued in FL
Practice address
8400 NW 33Rd St
Doral, FL 33122-1937
Phone
(786) 405-3948
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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 SW11851 FL Primary

Addresses

Primary practice location

8400 NW 33Rd St
Doral, FL 33122-1937

Mailing address

6141 SW 128TH PL
Miami, FL 33183-5471
Phone (305) 389-1840

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1891107249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 SW 128TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835471",
            "telephone_number": "305-389-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NW 33RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221937",
            "telephone_number": "786-405-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBIEST",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW, CMC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.