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Deactivated NPI 1669872248 Deactivated / Inactive NPI Female Practitioner

Lidice Carrillo

Social Worker • Miami, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lidice Carrillo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 02, 2014
NPI Deactivation Date January 18, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Lidice Carrillo was a registered Social Worker practicing in Miami, FL. Throughout an active medical career spanning 9 years, Lidice Carrillo provided care at the practice location at 7575 W FLAGLER ST until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

7575 W Flagler St

Miami, FL 331442470

Telephone 3053773297
Fax 3053773854
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
663 Specialists

Practicing in Miami, FL (5606 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013373802
Robert Yaniz

Case Manager/Care Coordinator

NPI 1053851287
Liena Acosta

Case Manager/Care Coordinator

NPI 1063053601
Aitza Vazquez , BS

Case Manager/Care Coordinator

NPI 1063861243

Bachelor of Science

Marilyn Guadarrama , CBHCM

Case Manager/Care Coordinator

NPI 1073325957
Willian Gutierrez

Behavior Technician

NPI 1083070908

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
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NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2021

Nurse Practitioner (License #APRN11012927 in FL)

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Provider Name / Credentials Updated October 12, 2021

Recorded as LIDICE CARRILLO CABRERA, APRN FNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2021

Registered Nurse (License #9499965 in FL)

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2021

Nurse Practitioner (License #APRN11012927 in FL)

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2021

Social Worker

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Updated Practice Location March 06, 2020

Registered at 3 SW 129TH AVE STE 203, PEMBROKE PINES, FL 330271779 (Tel: 9545892539)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2020

Registered Nurse (License #9499965 in FL)

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Updated Practice Location January 22, 2019

Registered at 3350 SW 148TH AVE STE 110, MIRAMAR, FL 330273237 (Tel: 9547342737)

NPI Profile Active September 02, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 02, 2014

Registered at 7575 W FLAGLER ST, MIAMI, FL 331442470 (Tel: 3053773297)

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Updated Business Mailing Address September 02, 2014

Registered at 9440 NW 35TH CT, MIAMI, FL 331472730 (Tel: 3053773297)

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Provider Name / Credentials Updated September 02, 2014

Recorded as LIDICE CARRILLO

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2014

Social Worker

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Initial NPI Registration & Enumeration September 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669872248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2014
Last Update: September 02, 2014
Deactivation Date: January 18, 2023

Mailing Address

9440 Nw 35th Ct

Miami, FL 331472730

Phone: 3053773297

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.