Healthcare Provider Details

I. General information

NPI: 1336645050
Provider Name (Legal Business Name): SLOAN BRUAN LORENZINI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 CRANDON BLVD APT 308
KEY BISCAYNE FL
33149-2651
US

IV. Provider business mailing address

703 CRANDON BLVD APT 303
KEY BISCAYNE FL
33149-2583
US

V. Phone/Fax

Practice location:
  • Phone: 305-915-0818
  • Fax:
Mailing address:
  • Phone: 305-915-0818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW17559
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: