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NPI Code Detail

MEDICARE: AUDREY PARADELA LCSW

MEDICARE: AUDREY PARADELA LCSW
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
11041C0700XClinical Social WorkerSW24509FL

General Provider Information

NPI Number : 1851973515
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY PARADELA LCSW
Provider Business Mailing Address
First Line : 12301 LAKE UNDERHILL RD STE 215
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4511
Country : US
Telephone Number : 321-235-0692
Fax Number : 321-235-0694
Provider Business Practice Location Address
First Line : 12301 LAKE UNDERHILL RD STE 215
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4511
Country : US
Telephone Number : 321-235-0692
Fax Number : 321-235-0694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2021
Last Update Date : 12/12/2025

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Directions to “ AUDREY PARADELA LCSW” Practice Location

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