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ELIZABETH MARIA DIEZ LICEA
NPI 1407374192
Social Worker - Clinical in Cutler Bay, FL

Active since September 02, 2017PECOS Enrolled
10300 SW 216TH ST, CUTLER BAY, FL 33190(305) 253-5100 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, Jul 27, 2026, Dec 1, 2025 and 3 more (6 updates tracked since 2017).

About Elizabeth Maria Diez Licea NPPES

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

ELIZABETH MARIA DIEZ LICEA (NPI 1407374192) is an individual clinical provider in Cutler Bay, Florida, licensed in Florida (SW22055) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Florida International Univ, College Of Medicine (2021).

NPPES Registry Identity

NPI1407374192
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH MARIA DIEZ LICEA
Location Address10300 SW 216TH STCutler Bay, FL 33190-1003
Mailing Address13371 Sw 17th Ln Apt 8Miami, FL 33175-7634 · (786) 230-0590
Phone(305) 253-5100
Sole ProprietorYes
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2021
Enumeration DateSeptember 2, 2017
Last NPPES UpdateAugust 6, 20266 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1407374192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW22055
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License SW22055 (FL)
10300 SW 216TH ST, Cutler Bay, FL 33190
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Secondary Practice Location 1

Location 113371 SW 17th Ln Apt 8Miami, FL 33175-7634 · Phone (786) 230-0590

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Maria Diez Licea is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466911326
PECOS Enrollment IDI20260831002921
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Diez Licea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Of South Florida Inc
0.1 mi
Federally Qualified Health Center (FQHC)
10300 SW 216TH ST
Miami, FL 33190
  • Reassigned Medicare billing, Florida enrollment
  • 144 clinicians in this Medicare group
NPI 1336152347 (305) 253-5100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.92 – $187.05
Typical copayment $0.00 (range $15.23 – $46.76)
Most-billed visit code NA
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. KEVIN NYARANGI MOCHENGO MD
Student in an Organized Health Care Education/Training Program
10300 SW 216TH ST
CUTLER BAY, FL 33190
Miami-Dade County (305) 254-4979
MRS. THERESE JOCELYNE BEAUZILE DH
Dental Hygienist
10300 SW 216TH ST
MIAMI, FL 33190
Miami-Dade County (305) 253-5100
KEVIN AMIRI
Psychiatry & Neurology (Psychiatry)
10300 SW 216TH ST
CUTLER BAY, FL 33190
Miami-Dade County (305) 253-5100
LINDA ZAMBRANA MD
Family Medicine
10300 SW 216TH ST
CUTLER BAY, FL 33190
Miami-Dade County (305) 253-5100
DR. TANYA M. ROMAN DO
Pediatrics
10300 SW 216TH ST
CUTLER BAY, FL 33190
Miami-Dade County (305) 253-5100
DIANNA PATRICIA CRIBEIRO
Registered Nurse
10300 SW 216TH ST
CUTLER BAY, FL 33190
Miami-Dade County (305) 253-5100
TELENA MCGHEE LCSW
Social Worker (Clinical)
10300 SW 216TH ST
CUTLER BAY, FL 33190
Miami-Dade County (786) 384-2094
DR. MIGUEL L ALFONSO MD
Psychiatry & Neurology (Psychiatry)
10300 SW 216TH ST
MIAMI, FL 33190
Miami-Dade County (305) 252-4840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Diez Licea's NPI number?

The NPI number for Elizabeth Diez Licea is 1407374192. It was assigned to this individual provider in the NPPES registry on September 2, 2017.

Where is Elizabeth Diez Licea located?

Elizabeth Diez Licea practices at 10300 SW 216th St, Cutler Bay, FL 33190. The listed phone number is (305) 253-5100.

What is Elizabeth Diez Licea's specialty?

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

Is Elizabeth Diez Licea enrolled in Medicare?

Yes. Elizabeth Diez Licea is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Diez Licea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Diez Licea reassigns Medicare benefits to Community Health Of South Florida Inc (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Diez Licea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Diez Licea accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Elizabeth Diez Licea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Diez Licea was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.