MEDICARE: MIA PAOLINI RCSWI

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	ISW22539	FL

General Provider Information

NPI Number	:	1285569947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIA PAOLINI RCSWI

Provider Business Mailing Address
First Line	:	6919 SW 18TH ST STE 201
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-7010
Country	:	US
Telephone Number	:	561-571-1557
Fax Number	:	561-634-3537

Provider Business Practice Location Address
First Line	:	6919 SW 18TH ST STE 201
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-7010
Country	:	US
Telephone Number	:	561-571-1557
Fax Number	:	561-634-3537

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ MIA PAOLINI RCSWI” Practice Location

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