Healthcare Provider Details

I. General information

NPI: 1093633067
Provider Name (Legal Business Name): TRISHA DEL CUETO MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 SW 28TH ST
FORT LAUDERDALE FL
33315-2612
US

IV. Provider business mailing address

900 NW 31ST AVE STE 2000
FORT LAUDERDALE FL
33311-6653
US

V. Phone/Fax

Practice location:
  • Phone: 954-357-4847
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: