MEDICARE: DENNESHIA SPRATT

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	104100000X	Social Worker
2	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447648654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNESHIA SPRATT

Provider Business Mailing Address
First Line	:	4740 N STATE ROAD 7 STE 201
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5839
Country	:	US
Telephone Number	:	954-486-4005
Fax Number	:	954-497-3857

Provider Business Practice Location Address
First Line	:	3347 N UNIVERSITY DR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2230
Country	:	US
Telephone Number	:	954-888-7999
Fax Number	:

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

Provider Enumeration Date	:	12/23/2014
Last Update Date	:	11/13/2024

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Directions to “ DENNESHIA SPRATT ” Practice Location

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