West Kendall Mental Health Network Corp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WEST KENDALL MENTAL HEALTH NETWORK CORP

Practice address

13301 SW 194TH Ave
Miami, FL 33196-1924

Phone

(786) 999-4830

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Wendy Segovia, LCSW

Title

President

Phone

(786) 999-4830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1902668643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 SW 194TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961924",
            "telephone_number": "786-999-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 SW 194TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961924",
            "telephone_number": "786-999-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST KENDALL MENTAL HEALTH NETWORK CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "SEGOVIA",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-999-4830",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• West Kendall Community Center
• West Kendall Dental Associates Inc.
• West Kendall Medical LLC
• West Kendall Pain - Rehab Medical Center Inc
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• West Kendall Physical Therapy & Hand Rehabilitation Center LLC
• West Kendall Rehab Center Inc

• Clinical Social Worker in Miami, FL
• Providers in Miami, 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 Jan 29, 2024; 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.