Carmen Guzman Villate, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003899 Issued in NC

Practice address

8410 Sandy Beach St
Tampa, FL 33634-1246

Phone

(813) 720-9282

NPI assigned

Oct 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carmen M. Villate Other name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1962119198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 SANDY BEACH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341246",
            "telephone_number": "813-720-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 SANDY BEACH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341246",
            "telephone_number": "813-720-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLATE",
        "first_name": "CARMEN",
        "middle_name": "GUZMAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "VILLATE",
            "middle_name": "M.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachelle-Mae Villanueva, DNP
• Fernando Emmanuel Villar, PHARMD
• Kathrine Rose Villar
• Nelson Villar, ARNP
• Juliana Villarrubia Caro, PHARMD
• Roger Villatoro Suazo
• Beatriz Villavicencio Diaz
• Rossmery Villavicencio, BA
• Robert Villavisanis, LMHC
• Juan Jose Villeda, PT

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.