Nidis Vivenes, is a
Social Worker - Clinical based in Hialeah, Florida. Nidis Vivenes is licensed to practice in Florida (license number ISW19306) and her current practice location is
4385 W 16th Ave, Hialeah, Florida. She can be reached at her office (for appointments etc.) via phone at
(305) 824-0637.
NPI number for Nidis Vivenes is 1205718095 and her current mailing address is 1281 Ne 117th St, Miami Shores, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205718095.
Healthcare Provider's Profile
| Full Name | Nidis Vivenes |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4385 W 16th Ave, Hialeah, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205718095
- Provider Enumeration Date: 07/22/2025
- Last Update Date: 07/31/2025
Medical Identifiers
Medical identifiers for Nidis Vivenes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205718095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ISW19306 (Florida) | Secondary |
| 101YS0200X | Counselor - School | ISW19306 (Florida) | Secondary |
| 1041S0200X | Social Worker - School | ISW19306 (Florida) | Secondary |
| 221700000X | Art Therapist | ISW19306 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW19306 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nidis Vivenes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nidis Vivenes,
1281 Ne 117th St,
Miami Shores, FL 33161-6829
Ph: () - | Nidis Vivenes,
4385 W 16th Ave,
Hialeah, FL 33012-7628
Ph: (305) 824-0637 |
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