MEDICARE: BEATRIZ HADLEY MSW, LSW

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	44SL01108400	NJ

General Provider Information

NPI Number	:	1588086573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ HADLEY MSW, LSW

Provider Business Mailing Address
First Line	:	5347 GRAND BANKS BLVD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-5950
Country	:	US
Telephone Number	:	561-972-0893
Fax Number	:

Provider Business Practice Location Address
First Line	:	20401 NW 2ND AVE STE 308
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-2571
Country	:	US
Telephone Number	:	305-454-9418
Fax Number	:

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

Provider Enumeration Date	:	01/10/2014
Last Update Date	:	10/02/2019

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