Organization Active NPI

Clinical Social Services of South Florida Inc.

  • Community/Behavioral Health Agency
  • Hialeah, FL
National Provider Identifier
1932505732
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW 2837 Issued in FL
Legal business name
CLINICAL SOCIAL SERVICES OF SOUTH FLORIDA INC.
Practice address
419 W 49TH St
Suite 218
Hialeah, FL 33012-3654
Phone
(305) 231-8787
NPI assigned
Nov 6, 2014
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Melva ColonNPI 1609070937
Title
Licensed Social Worker
Phone
(305) 231-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW 2837 FL Primary

Addresses

Primary practice location

419 W 49TH St
Suite 218
Hialeah, FL 33012-3654

Mailing address

219 W 49St
Suite 218
Hialeah, FL 33012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150922003172 FL Part B Supplier - Clinic/Group Practice 4284941378 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL; Hialeah, FL

National Provider Directory

National Provider Directory

Locations

1390 S Dixie Hwy
Ste 1305
Coral Gables, FL 33146
Phone (305) 231-8787

419 W 49th St
Ste 218
Hialeah, FL 33012
Phone (305) 231-8787

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1932505732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W 49ST",
            "address_2": "SUITE 218",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W 49TH ST",
            "address_2": "SUITE 218",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123654",
            "telephone_number": "305-231-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SOCIAL SERVICES OF SOUTH FLORIDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "MELVA",
        "authorized_official_title_or_position": "LICENSED SOCIAL WORKER",
        "authorized_official_telephone_number": "305-231-8787"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW 2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.