Ekyoma Beyene Doilicho

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18483 Issued in FL

Practice address

8514 Tupelo Dr
Tampa, FL 33637-6458

Phone

(817) 501-4929

Fax

(817) 501-4929

NPI assigned

May 23, 2025

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1912790924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 TUPELO DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336376458",
            "telephone_number": "817-501-4929",
            "fax_number": "817-501-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 TUPELO DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336376458",
            "telephone_number": "817-501-4929",
            "fax_number": "817-501-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOILICHO",
        "first_name": "EKYOMA",
        "middle_name": "BEYENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Y Doers, RRT,CPFT
• Prerna Dogra, MBBS
• Jennifer L Doherty, BCBA
• Justin Lewis Doherty Jr.
• Antonio Toshikazu Dohi, DDS
• Michael Doing, AU.D.
• Dol Doctors LLC
• Dol Injury Centers
• Dol Physicians of America
• Ann Margaret Dolan, LMHC

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, 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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.