MEDICARE: ELIZABETH SAMET 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	25063	FL

General Provider Information

NPI Number	:	1760372809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SAMET LCSW

Provider Business Mailing Address
First Line	:	1919 CLEVELAND ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-3133
Country	:	US
Telephone Number	:	415-595-9794
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 CLEVELAND ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-3133
Country	:	US
Telephone Number	:	415-595-9794
Fax Number	:

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

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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