MEDICARE: MS. PATRICIA M ARANDA 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	SW5240	FL

General Provider Information

NPI Number	:	1336650977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA M ARANDA LCSW

Provider Business Mailing Address
First Line	:	6015 WASHINGTON ST STE 200
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-1346
Country	:	US
Telephone Number	:	954-266-2999
Fax Number	:	954-966-3320

Provider Business Practice Location Address
First Line	:	5801 W HALLANDALE BEACH BLVD
Second Line	:
City	:	WEST PARK
State	:	FL
Zip	:	33023-5243
Country	:	US
Telephone Number	:	954-966-3939
Fax Number	:	954-966-5959

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

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	03/17/2018

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