Individual provider · Type 1 NPI

Nidis Vivenes

Clinical Social Worker · Hialeah, FL

NPI number 1205718095 Active

Practice location

4385 W 16th Ave
Hialeah, FL 33012-7628

Call (305) 824-0637 Map

Mailing address

1281 NE 117th St
Miami Shores, FL 33161-6829

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	ISW19306 (FL)
School Counselor	101YS0200X	ISW19306 (FL)
School Social Worker	1041S0200X	ISW19306 (FL)
Art Therapist	221700000X	ISW19306 (FL)
Clinical Social Worker Primary	1041C0700X	ISW19306 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1205718095

Nidis Vivenes's National Provider Identifier is 1205718095, issued on Jul 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hialeah, FL. The record was last updated on Jul 31, 2025.