DITMARA TAMAYO (LCSW) – Clinical Social Worker, NPI 1447446810

DITMARA TAMAYO (LCSW) is a healthcare provider. based in Coral springs, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW6705 (FL). The NPI Number for DITMARA TAMAYO (LCSW) is 1447446810

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
DITMARA TAMAYO (LCSW)
NPI
1447446810
Phone
(954) 345-5644
Address
11760 W SAMPLE RD STE 101
Enumeration Date
19 September 2007
Last Update Date
27 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543455644
Graduation Year
1988 (38 years ago)
PAC ID
3274862982
Group Practice PAC ID
1951362870
Professional Enrollment ID
I20190905001857
Address ID
FL33076XXXXPAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for DITMARA TAMAYO (LCSW)

  • West Sample Road, Coral Springs, Broward County, Florida, 33064, United States

    CORAL SPRINGS, FL 330653199

    Phone: (954) 345-5644

    Fax: (954) 345-5683

    Mailing address matches the actual address.

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: 2019-09-05

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
I20190905001857IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33065)

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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: 1951362870View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical PsychologistFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Mental Health CounselorFL
-FL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What is the registry number for DITMARA TAMAYO (LCSW)?
The registry entry for DITMARA TAMAYO (LCSW) shows NPI 1447446810.
Does the public listing show DITMARA TAMAYO (LCSW) as active?
DITMARA TAMAYO (LCSW)'s NPI record reflects an active status in NPPES.
What type of care does DITMARA TAMAYO (LCSW) provide?
DITMARA TAMAYO (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit DITMARA TAMAYO (LCSW) in Coral Springs, Florida?
For routing, start with Coral Springs, Florida for DITMARA TAMAYO (LCSW), then verify phone and hours locally.
Can I export DITMARA TAMAYO (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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