Healthcare Provider Details

I. General information

NPI: 1366882144
Provider Name (Legal Business Name): SANDRA PINZON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 N UNIVERSITY DR STE 350
CORAL SPRINGS FL
33071-6000
US

IV. Provider business mailing address

1725 N UNIVERSITY DR STE 350
CORAL SPRINGS FL
33071-6000
US

V. Phone/Fax

Practice location:
  • Phone: 954-227-2700
  • Fax:
Mailing address:
  • Phone: 954-227-2700
  • Fax: 954-227-2704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number055017-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number084905-01
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW14211
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: