Individual provider Active NPI

Sivan Yechezkel, LCSW

  • Clinical Social Worker
  • North Miami, FL
National Provider Identifier
1982570362
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25490 Issued in FL
Practice address
2124 NE 123Rd St Ste 220
North Miami, FL 33181-2939
Phone
(786) 828-0947
NPI assigned
Oct 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 SW25490 FL Primary

Addresses

Primary practice location

2124 NE 123Rd St Ste 220
North Miami, FL 33181-2939

Mailing address

3000 NE 188TH St Apt 503
Aventura, FL 33180-2986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW25490FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Group Florida, LLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

2124 NE 123rd St
Ste 220
North Miami, FL 33181
Phone (786) 828-0947

Organizations & group practices 1

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": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1982570362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NE 188TH ST APT 503",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 NE 123RD ST STE 220",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812939",
            "telephone_number": "786-828-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YECHEZKEL",
        "first_name": "SIVAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.