Active NPI
Jacquelin Da Hora, LISW-CP
- Clinical Social Worker
- Coral Gables, FL
National Provider Identifier
1992298202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13811
- Practice address
- 3733 W Flagler St
Coral Gables, FL 33134-1601 - Phone
- (305) 774-3400
- NPI assigned
- Jun 11, 2018
- 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 | 12822 | SC | |
| Clinical Social Worker | 1041C0700X | SW13811 | FL | Primary |
Addresses
Primary practice location
3733 W Flagler St
Coral Gables, FL 33134-1601
Mailing address
6100 Blue Lagoon Dr Ste 400
Miami, FL 33126-2080
Phone (305) 398-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760596480 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW13811 | FL | MD | Clinical Social Worker |
| 12822 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1992298202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 BLUE LAGOON DR STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262080",
"telephone_number": "305-398-6100",
"fax_number": "305-757-2387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 W FLAGLER ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341601",
"telephone_number": "305-774-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DA HORA",
"first_name": "JACQUELIN",
"name_prefix": "Mrs.",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "12822",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760596480",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.