Individual provider Active NPI

Aixa Nunez, LCSW

  • Clinical Social Worker
  • Sweetwater, FL
National Provider Identifier
1952001018
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16641 Issued in FL
Practice address
1414 NW 107TH Ave
Sweetwater, FL 33172-2732
Phone
(786) 762-2952
NPI assigned
Mar 7, 2023
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW16641 FL Primary

Addresses

Primary practice location

1414 NW 107TH Ave
Sweetwater, FL 33172-2732

Mailing address

7970 SW 12TH St
Miami, FL 33144-4322
Phone (305) 505-7250

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240424003791 FL Practitioner - Clinical Social Worker 2062852015 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW16641FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Miguel Community Wellness Center CurrentSince Apr 19, 2024 Accepting new patients
Behavioral Aid Solutions, Inc CurrentSince Mar 13, 2025 Accepting new patients
Sylma M Millares PA PastSince Mar 12, 2023 Accepting new patients
San Miguel Community Wellness Center PastSince Apr 19, 2024 Accepting new patients

Locations

12030 SW 129th Ct
Ste 107
Miami, FL 33186
Phone (305) 432-4032

12030 SW 129th Ct
Ste 206
Miami, FL 33186
Phone (305) 432-4032

1414 NW 107th Ave
Ste 109
Sweetwater, FL 33172
Phone (786) 762-2952

Organizations & group practices 4

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952001018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444322",
            "telephone_number": "305-505-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722732",
            "telephone_number": "786-762-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "AIXA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, FL

Sources for this page

Verify at the official NPI Registry.