Active NPI
Natalia Cornejo
- Clinical Social Worker
- Davie, FL
National Provider Identifier
1922972264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW22108
- Practice address
- 2209 Nova Village Dr
Davie, FL 33317-7031 - Phone
- (954) 865-9432
- NPI assigned
- Sep 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW22108 | FL | Primary |
Addresses
Primary practice location
2209 Nova Village Dr
Davie, FL 33317-7031
Mailing address
2209 Nova Village Dr
Davie, FL 33317-7031
Phone (954) 865-9432
Other practice location 1
7520 NW 5th St Ste 203
Plantation, FL 33317-1613
Phone (754) 837-1804
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW22108 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1922972264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 NOVA VILLAGE DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333177031",
"telephone_number": "954-865-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 NOVA VILLAGE DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333177031",
"telephone_number": "954-865-9432"
}
],
"practiceLocations": [
{
"address_1": "7520 NW 5th St Ste 203",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "333171613",
"country_code": "US",
"telephone_number": "754-837-1804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORNEJO",
"first_name": "NATALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-30",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW22108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.