NPI 1558045591 · live from the CMS NPI Registry
Phoenix Adams, DSW, LCSW
Social Worker, Clinical in Fort Lauderdale, FL. National Provider Identifier 1558045591, active.
NPI record
| NPI | 1558045591 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2825 Ne 21st Ave, Fort Lauderdale, FL 33306 |
| Practice phone | 954-257-7048 |
| Enumerated | June 12, 2023 |
| Last updated | June 12, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 11728 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.