Healthcare Provider Details

I. General information

NPI: 1912777947
Provider Name (Legal Business Name): DANIELA GELBSPAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 NE 183RD ST APT 110W
AVENTURA FL
33160-2126
US

IV. Provider business mailing address

2801 NE 183RD ST APT 110W
AVENTURA FL
33160-2126
US

V. Phone/Fax

Practice location:
  • Phone: 786-302-2846
  • Fax:
Mailing address:
  • Phone: 786-302-2846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW12035
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: