MEDICARE: ANNEMARIE C BALFANZ LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW23723	FL

General Provider Information

NPI Number	:	1184412363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNEMARIE C BALFANZ LCSW

Provider Business Mailing Address
First Line	:	1769 NW 15TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2301
Country	:	US
Telephone Number	:	504-940-7060
Fax Number	:

Provider Business Practice Location Address
First Line	:	1769 NW 15TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2301
Country	:	US
Telephone Number	:	504-940-7060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	04/28/2025

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Directions to “ ANNEMARIE C BALFANZ LCSW” Practice Location

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