MEDICARE: SOUTH FLORIDA COUNSELING AND CASE MANAGEMENT, LLC

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

General Provider Information

NPI Number	:	1295119170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA COUNSELING AND CASE MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	2237 SE MERRILL RD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7026
Country	:	US
Telephone Number	:	410-739-6582
Fax Number	:	410-630-7204

Provider Business Practice Location Address
First Line	:	2237 SE MERRILL RD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7026
Country	:	US
Telephone Number	:	410-739-6582
Fax Number	:	410-630-7204

Authorized Official
Title or Position	:	CEO/CLINICAL DIRECTOR
Name	:	ANNE-MARIE T BROWN
Credential	:	LCSW, MSW, MCAP, ICA
Telephone Number	:	410-739-6582

Provider Enumeration Date	:	07/10/2015
Last Update Date	:	11/07/2023

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