MS. MAYREN FRAGUELA-LAM LCSW NPI 1891167987

NPI Information

NPI: 1891167987
Provider Name: MS. MAYREN FRAGUELA-LAM, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
13350 SW 88TH TER STE 180
MIAMI, FL
ZIP 33186
Phone: (786) 344-5626
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MS. Mayren Fraguela-lam, LCSW is a mental health counselor in Miami, FL. MS. Mayren Fraguela-lam, LCSW NPI is 1891167987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13350 SW 88TH TER STE 180
MIAMI, FL
ZIP 33186-783
Phone: (786) 344-5626

The NPI 1891167987 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/28/2015 and was last updated on 1/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	SW13231	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	SW13231	FLORIDA	Yes
3	103K00000X	Behavior Analyst		SW13231	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	021357400	MEDICAID	FLORIDA
2	016518400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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