DOLIA PEGUERO (LCSW) – Clinical Social Worker, NPI 1114915717

DOLIA PEGUERO (LCSW) is a healthcare provider. based in North miami, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW6289 (FL). The NPI Number for DOLIA PEGUERO (LCSW) is 1114915717

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
DOLIA PEGUERO (LCSW)
NPI
1114915717
Phone
(305) 891-0050
Address
1065 NE 125TH STRRET
Enumeration Date
10 October 2005
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056318931
Graduation Year
1979 (47 years ago)
PAC ID
9638338593
Group Practice PAC ID
2365668282
Professional Enrollment ID
I20120313000033
Address ID
FL331351601MI1901XSTXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for DOLIA PEGUERO (LCSW)

  • 1065 NE 125TH STRRET

    SUITE 409

    NORTH MIAMI, FL 33161

    Phone: (305) 891-0050

    Fax: (305) 503-7363

    Type: Mailing

  • 1065 NE 125TH ST STE 300

    NORTH MIAMI, FL 331615833

    Phone: (888) 852-6672

    Fax: (305) 891-4228

    Type: Mailing

  • 1601 N PALM AVE STE 211

    PEMBROKE PINES, FL 330263204

    Phone: (954) 447-0010

    Fax: (954) 447-0899

    Type: Location

  • Palm Avenue, Pembroke Pines, Broward County, Florida, 33025, United States

    STE 303

    PEMBROKE PINES, FL 330263200

    Phone: (888) 852-6672

    Fax: (305) 891-4228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120313000033IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation1413$0
View full utilization report →

Insurance plans in this area (ZIP 33161)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365668282View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I cross-check DOLIA PEGUERO (LCSW) using NPI 1114915717?
NPI 1114915717 belongs to DOLIA PEGUERO (LCSW); compare other details if you need extra assurance.
Would DOLIA PEGUERO (LCSW) appear as active to a payer?
You can treat DOLIA PEGUERO (LCSW) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DOLIA PEGUERO (LCSW)?
DOLIA PEGUERO (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Florida is DOLIA PEGUERO (LCSW) registered?
Use North Miami, Florida as the headline location for DOLIA PEGUERO (LCSW) here.
When was this NPI issued?
Enumeration for DOLIA PEGUERO (LCSW) is noted as October 10, 2005 where the registry provides it.

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