Maritza Ejenbaum, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 2993 Issued in FL

Practice address

333 W 41St St
Suite 208-210
Miami Beach, FL 33140-3641

Phone

(305) 672-8080

Fax

(305) 672-0030

NPI assigned

Mar 13, 2013

Last updated

Jan 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Maritza Ejenbaum Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jewish Community Services of South Florida, Inc.

  • Home Delivered Meals
  • North Miami, FL
  • NPI 1609670702
  NPD

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1912248154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 GARY AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331412510",
            "telephone_number": "305-458-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W 41ST ST",
            "address_2": "SUITE 208-210",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403641",
            "telephone_number": "305-672-8080",
            "fax_number": "305-672-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJENBAUM",
        "first_name": "MARITZA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 2993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARITZA",
            "last_name": "EJENBAUM",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeannette Blanca Egozi
• Mohamed Eid
• Bruce N Eisenberg, M.D.
• Donald M Eisenman, A.P.
• Hyman Hirsch Eisenstein, PHD
• Ashanti El-Amin, HS
• Ahmed Aly Elghawy, D.O.
• Ahmed Elhosseiny
• Eli Oppenheimer DMD PLLC
• Elias M Herschmann MD PA

• Clinical Social Worker in Miami Beach, FL
• Providers in Miami Beach, 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 18, 2023; 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.