MEDICARE: DAHLIA SLOTSKY L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW12141	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SW12141	OTHER	FL	FLORIDA

General Provider Information

NPI Number	:	1063953636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAHLIA SLOTSKY L.C.S.W.

Provider Business Mailing Address
First Line	:	1919 NE 45TH ST STE 225
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-5136
Country	:	US
Telephone Number	:	305-519-9565
Fax Number	:	561-786-7814

Provider Business Practice Location Address
First Line	:	1925 NE 45TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-5121
Country	:	US
Telephone Number	:	305-519-9565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2017
Last Update Date	:	05/04/2026

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