Wellformed AI

NPI 1386058824 · live from the CMS NPI Registry

A Human Touch - Comprehensive Service For Students

Social Worker, Clinical in Boynton Beach, FL. National Provider Identifier 1386058824, active.

NPI record

NPI1386058824 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location8896 Cobblestone Point Cir, Boynton Beach, FL 33472
Practice phone954-873-9707
EnumeratedJune 12, 2014
Last updatedJune 12, 2014
Authorized officialYolanda Smith, Chief Executive Officer

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700Xsw4510 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.