Healthcare Provider Details

I. General information

NPI: 1336650977
Provider Name (Legal Business Name): PATRICIA M ARANDA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 W HALLANDALE BEACH BLVD
WEST PARK FL
33023-5243
US

IV. Provider business mailing address

6015 WASHINGTON ST STE 200
HOLLYWOOD FL
33023-1346
US

V. Phone/Fax

Practice location:
  • Phone: 954-966-3939
  • Fax: 954-966-5959
Mailing address:
  • Phone: 954-266-2999
  • Fax: 954-966-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW5240
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: