Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: September 06, 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 and maintains a secondary practice location in Miami.

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
Sole ProprietorYes
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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.

Student in an Organized Health Care Education/Training Program
10300 SW 216TH ST
CUTLER BAY, FL 33190
Dental Hygienist
10300 SW 216TH ST
MIAMI, FL 33190
Psychiatry & Neurology (Psychiatry)
10300 SW 216TH ST
CUTLER BAY, FL 33190
Family Medicine
10300 SW 216TH ST
CUTLER BAY, FL 33190
Pediatrics
10300 SW 216TH ST
CUTLER BAY, FL 33190
Registered Nurse
10300 SW 216TH ST
CUTLER BAY, FL 33190
Social Worker (Clinical)
10300 SW 216TH ST
CUTLER BAY, FL 33190
Psychiatry & Neurology (Psychiatry)
10300 SW 216TH ST
MIAMI, FL 33190

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.

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 33 days 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.