Healthcare Provider Details

I. General information

NPI: 1285579813
Provider Name (Legal Business Name): GENERAL SOCIAL WORK SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 BUENA VISTA DR
MARGATE FL
33063
US

IV. Provider business mailing address

7901 4TH ST N STE 300
ST PETERSBURG FL
33702-4399
US

V. Phone/Fax

Practice location:
  • Phone: 786-966-0299
  • Fax:
Mailing address:
  • Phone: 786-966-0299
  • 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: MR. LAURA ELLEN SEIGEL
Title or Position: AUTHORIZED MEMBER
Credential: LCSW
Phone: 786-966-0299