Individual provider Active NPI

Selma Rodriguez Freijo

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1952984213
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18433 Issued in FL
Practice address
9350 Sunset Dr Ste 151
Miami, FL 33173-3286
Phone
(305) 774-9570
NPI assigned
May 4, 2021
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW18433 FL Primary

Addresses

Primary practice location

9350 Sunset Dr Ste 151
Miami, FL 33173-3286

Mailing address

4121 W 11TH LN
Hialeah, FL 33012-4164
Phone (786) 203-8659

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
I20210604001205 FL Practitioner - Clinical Social Worker 2567861917 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medication Assisted Recovery Institute, LLC Mental Health CurrentSince Jun 10, 2021 Accepting new patients
Dade Family Counseling Community Mental Health Center, Inc CurrentSince May 18, 2021 Accepting new patients
Mtca Psychological Services P.a. CurrentSince Sep 15, 2022 Accepting new patients

Locations

2940 NE 207th St
Aventura, FL 33180
Phone (419) 247-2800

2900 N Military Trl
Ste 241
Boca Raton, FL 33431
Phone (561) 464-4949

5030 Champion Blvd
Ste G11
Boca Raton, FL 33496

5030 Champion Blvd
Ste G11535
Boca Raton, FL 33496

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

6067 Hollywood Blvd
Ste 200
Hollywood, FL 33024

1951 NW 17th Ave
Miami, FL 33125
Phone (305) 265-9220

435 NE 34th St
Miami, FL 33137
Phone (305) 573-4337

9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

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, 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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1952984213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 W 11TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124164",
            "telephone_number": "786-203-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 SUNSET DR STE 151",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733286",
            "telephone_number": "305-774-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ FREIJO",
        "first_name": "SELMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.