CARLOS SAN INOCENCIO
NPI 1306347117
Social Worker - Clinical in West Palm Beach, FL

Q: What is Carlos San Inocencio's NPI number?

The NPI number for Carlos San Inocencio is 1306347117. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Q: What is Carlos San Inocencio's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Carlos San Inocencio enrolled in Medicare?

No. Carlos San Inocencio has opted out of Medicare through March 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since February 27, 2018Opted out of Medicare · through Mar 5, 2028

900 54TH ST, WEST PALM BEACH, FL 33407(772) 617-1717 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carlos San Inocencio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS SAN INOCENCIO (NPI 1306347117) is an individual clinical provider in West Palm Beach, Florida and active in the NPI registry since February 2018. He has opted out of Medicare through March 5, 2028.

NPPES Registry Identity

NPI1306347117

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCARLOS SAN INOCENCIO

Location Address900 54TH STWest Palm Beach, FL 33407-2436

Mailing Address4001 Maple Ave Ste 600Dallas, TX 75219-3241

Phone(772) 617-1717

Sole ProprietorNo

Enumeration DateFebruary 27, 2018

✔ NPI 1306347117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

900 54TH ST, West Palm Beach, FL 33407

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Carlos San Inocencio has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 5, 2024 through March 5, 2028.

Opt-Out Effective DateMarch 5, 2024

Opt-Out In Effect ThroughMarch 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLORIA STEVENSON RN, LCSW

Social Worker (Clinical)