Wellformed AI

NPI 1609680503 · live from the CMS NPI Registry

Audrey Addison, LMSW

Social Worker in Deerfield Beach, FL. National Provider Identifier 1609680503, active.

NPI record

NPI1609680503 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location350 Fairway Dr Ste 101, Deerfield Beach, FL 33441
Practice phone877-418-2978
Mailing address395 Brittany Farms Rd Apt 327, New Britain, CT 06053
EnumeratedFebruary 3, 2025
Last updatedOctober 19, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker primary104100000X10871 (CT)
Behavior Technician106S00000X—

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