Healthcare Provider Details

I. General information

NPI: 1124894555
Provider Name (Legal Business Name): CHARLENE ALEMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023
Certification Date: 11/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ALTAMONTE DR
ALTAMONTE SPRINGS FL
32701-4802
US

IV. Provider business mailing address

PO BOX 536067
ORLANDO FL
32853-6067
US

V. Phone/Fax

Practice location:
  • Phone: 321-291-2384
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW13702
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: