| Jewish Community Services Of South Florida, Inc. | |
|
12000 Biscayne Blvd Ste 303 North Miami FL 33181-2720 | |
| (305) 899-1587 | |
| (305) 899-6367 |
| Full Name | Jewish Community Services Of South Florida, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12000 Biscayne Blvd Ste 303, North Miami, Florida |
| Authorized Official Name and Position | Sixto Montano (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3054036513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Community Services Of South Florida, Inc. 7875 Sw 104th St Ste 101 Miami FL 33156-2642 Ph: (305) 899-1587 | Jewish Community Services Of South Florida, Inc. 12000 Biscayne Blvd Ste 303 North Miami FL 33181-2720 Ph: (305) 899-1587 |
| NPI Number | 1831167246 |
|---|---|
| Provider Enumeration Date | 03/10/2006 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 4789669219 |
|---|---|
| Medicare Enrollment ID | O20040621000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831167246 | NPI | - | NPPES |
| J041478 | Other | FL | INTEGRATED HEALTH PLAN |
| 075284300 | Medicaid | FL | |
| S5826 | Other | FL | EMPIRE BCBS |
| 97034 | Other | FL | BCBS OF FL |
| Provider Name | Chaya R Lerner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053371112 PECOS PAC ID: 7911972831 Enrollment ID: I20040901001253 |
| Provider Name | Anat G Lieberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235176199 PECOS PAC ID: 3072525856 Enrollment ID: I20060616000122 |
| Provider Name | Barbara A Eaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568607893 PECOS PAC ID: 7810022944 Enrollment ID: I20100315000883 |
| Provider Name | Amy M Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295989333 PECOS PAC ID: 6204020464 Enrollment ID: I20101101001472 |
| Provider Name | Randi Adler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053371252 PECOS PAC ID: 3577750595 Enrollment ID: I20101202001318 |
| Provider Name | Sonia M Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144282070 PECOS PAC ID: 2466608328 Enrollment ID: I20120808000466 |
| Provider Name | Maritza Ejenbaum-leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912248154 PECOS PAC ID: 7517106339 Enrollment ID: I20130626000605 |
| Provider Name | Christina Lalama |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760879456 PECOS PAC ID: 4082066675 Enrollment ID: I20240119000003 |
| Provider Name | Guadalupe Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891289500 PECOS PAC ID: 9739504754 Enrollment ID: I20240122002244 |
| Provider Name | Chloe Alexandra Markowicz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982832804 PECOS PAC ID: 9436502465 Enrollment ID: I20240126000055 |
| Provider Name | Ana Maria Archilla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770160962 PECOS PAC ID: 6901249200 Enrollment ID: I20240202002728 |
| Provider Name | Dana Hahn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245928860 PECOS PAC ID: 4183068463 Enrollment ID: I20240214002361 |
| Provider Name | Giannina Ivette Del Rio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225079528 PECOS PAC ID: 7517301542 Enrollment ID: I20240219000960 |
| Provider Name | Lorna Patricia Black |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790955615 PECOS PAC ID: 4183702186 Enrollment ID: I20240221004249 |
| Provider Name | Natalie Herradon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841646890 PECOS PAC ID: 6103276258 Enrollment ID: I20240222001346 |
| Provider Name | Amanda Bella Cohen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821864257 PECOS PAC ID: 1759726839 Enrollment ID: I20240228002806 |
| Provider Name | Bianca Cristina Figueroa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215301155 PECOS PAC ID: 3971948993 Enrollment ID: I20240229002945 |
| Provider Name | Yessica V Ardila |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073276747 PECOS PAC ID: 7012353238 Enrollment ID: I20240311002356 |
| Provider Name | Adrian Marin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871261172 PECOS PAC ID: 8426495037 Enrollment ID: I20240319001031 |
| Provider Name | Ana Lidia Brito |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790335206 PECOS PAC ID: 6901243708 Enrollment ID: I20240327004097 |
| Provider Name | Tammie Levine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144992991 PECOS PAC ID: 6800234683 Enrollment ID: I20240401000197 |
| Provider Name | Vera Muzykanski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417229253 PECOS PAC ID: 8224476619 Enrollment ID: I20240404000919 |
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