Active NPI
Corrieann Marie Avila, LCSW
- Clinical Social Worker
- Doral, FL
National Provider Identifier
1952731960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009572
- Practice address
- 8352 NW 52 Terrace
Doral, FL 33166 - Phone
- (786) 551-9550
- NPI assigned
- Nov 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13377 | FL | |
| Clinical Social Worker | 1041C0700X | 0904009572 | VA | Primary |
Addresses
Primary practice location
8352 NW 52 Terrace
Doral, FL 33166
Mailing address
8352 NW 52ND Ter
Doral, FL 33166-7704
Phone (954) 319-5038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW13377 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Counseling Group, LLC | Clinical | Current | Accepting new patients |
| Prince William Family Counseling, P.C. | Past | Accepting new patients |
Locations
5335 NW 87th Ave
Ste C109
Doral, FL 33178
Phone (786) 551-9550
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Doral, FL
- NPI 1982228649
-
- Mental Health Counselor
- Manassas, VA
- NPI 1205868791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1952731960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8352 NW 52ND TER",
"city": "DORAL",
"state": "FL",
"postal_code": "331667704",
"telephone_number": "954-319-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8352 NW 52 TERRACE",
"city": "DORAL",
"state": "FL",
"postal_code": "33166",
"telephone_number": "786-551-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "CORRIEANN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2023-11-06",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13377",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.