Healthcare Provider Details

I. General information

NPI: 1700792157
Provider Name (Legal Business Name): MICA PIERRE BECKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8851 MARGE CT APT B
BOYNTON BEACH FL
33436-2453
US

IV. Provider business mailing address

8851 MARGE CT APT B
BOYNTON BEACH FL
33436-2453
US

V. Phone/Fax

Practice location:
  • Phone: 786-366-0647
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW22497
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: