Healthcare Provider Details

I. General information

NPI: 1366362642
Provider Name (Legal Business Name): SEAN MORAN LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 GLADES RD STE 111
BOCA RATON FL
33434-3958
US

IV. Provider business mailing address

9250 GLADES RD STE 111
BOCA RATON FL
33434-3958
US

V. Phone/Fax

Practice location:
  • Phone: 561-852-0910
  • Fax: 561-852-0960
Mailing address:
  • Phone: 561-852-0910
  • Fax: 561-852-0960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26620
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: