Concerned African Women, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONCERNED AFRICAN WOMEN, INC.

Practice address

18425 NW 2ND Ave Ste 350
Miami Gardens, FL 33169-4525

Phone

(305) 621-3700

Fax

(305) 621-0690

NPI assigned

Apr 16, 2019

Last updated

Apr 16, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn Nesbitt

Title

President/Ceo

Phone

(786) 520-7471

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1902469984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE STE 350",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694525",
            "telephone_number": "305-621-3700",
            "fax_number": "305-621-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE STE 350",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694525",
            "telephone_number": "305-621-3700",
            "fax_number": "305-621-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERNED AFRICAN WOMEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "NESBITT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "786-520-7471"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014021000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.