Individual provider Active NPI

Luvernice Croskey, LCSW,LMFT

  • Clinical Social Worker
  • North Miami, FL
National Provider Identifier
1912973348
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW555 Issued in FL
Practice address
12955 Biscayne Blvd Ste 204
North Miami, FL 33181-2021
Phone
(305) 895-3307
Fax
(305) 895-1737
NPI assigned
Feb 25, 2006
Last updated
May 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW555 FL Primary
Marriage & Family Therapist 106H00000X MT569 FL

Addresses

Primary practice location

12955 Biscayne Blvd Ste 204
North Miami, FL 33181-2021

Mailing address

12955 Biscayne Blvd Ste 204
North Miami, FL 33181-2021
Phone (305) 895-3307

Other identifiers 2

IdentifierTypeStateIssuer
Z7316OtherFLBLUE CROSS BLUE SHIELD
Z105BOtherFLBLUE CROSS BLUE SHIELD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW555FLMDClinical Social Worker
MT569FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Offices of Sulim a Krimshtein MD PA CurrentSince Jul 24, 2022 Accepting new patients
Carter T Wiggins & Associates PA Clinical CurrentSince May 24, 2020 Accepting new patients
Wheeler Wiggins, P.a. Clinical Past Accepting new patients

Locations

1175 NE 125th St
Ste 205
North Miami, FL 33161
Phone (305) 825-5698

12955 Biscayne Blvd
Ste 204
North Miami, FL 33181
Phone (305) 825-5698

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1912973348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 BISCAYNE BLVD STE 204",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812021",
            "telephone_number": "305-895-3307",
            "fax_number": "305-895-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 BISCAYNE BLVD STE 204",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812021",
            "telephone_number": "305-895-3307",
            "fax_number": "305-895-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSKEY",
        "first_name": "LUVERNICE",
        "credential": "LCSW,LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-25",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW555",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT569",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z7316",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE  CROSS BLUE SHIELD",
            "identifier": "Z105B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.