Individual provider Active NPI

Carter T Wiggins, LCSW

  • Clinical Social Worker
  • North Miami, FL
National Provider Identifier
1952371700
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4348 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
Jan 25, 2006
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW4348 FL Primary

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
000109300MedicaidFL

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
I20050520000040 FL Practitioner - Clinical Social Worker 3577504562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carter T Wiggins & Associates PA Clinical CurrentSince Jun 13, 1996 Accepting new patients
Medical Offices of Sulim a Krimshtein MD PA CurrentSince Jul 24, 2022 Accepting new patients
Wheeler Wiggins, P.a. Clinical Past Accepting new patients

Locations

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

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

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1952371700",
    "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": "WIGGINS",
        "first_name": "CARTER",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z7316",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000109300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.