Active NPI
South Florida Center for Counseling and Therapy
- Clinical Social Worker
- Fort Lauderdale, FL
National Provider Identifier
1245444843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW6037
- Legal business name
- SOUTH FLORIDA CENTER FOR COUNSELING AND THERAPY
- Practice address
- 2655 E Oakland Park Blvd
Suite 2
Fort Lauderdale, FL 33306-1662 - Phone
- (954) 776-3639
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Michael Fawcett, LCSW
- Title
- President
- Phone
- (954) 776-3639
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW6037 | FL | Primary |
Addresses
Primary practice location
2655 E Oakland Park Blvd
Suite 2
Fort Lauderdale, FL 33306-1662
Mailing address
2655 E Oakland Park Blvd
Suite 2
Fort Lauderdale, FL 33306-1662
Phone (954) 776-3639
National Provider Directory
National Provider DirectoryLocations
915 Middle River Dr
Ste 520
Ft Lauderdale, FL 33304
Phone (954) 563-2800
1975 E Sunrise Blvd
Ste 722
Ft Lauderdale, FL 33304
Phone (954) 764-6466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297641600000",
"number": "1245444843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 E OAKLAND PARK BLVD",
"address_2": "SUITE 2",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061662",
"telephone_number": "954-776-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 E OAKLAND PARK BLVD",
"address_2": "SUITE 2",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061662",
"telephone_number": "954-776-3639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FLORIDA CENTER FOR COUNSELING AND THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2011-02-14",
"status": "A",
"authorized_official_last_name": "FAWCETT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-776-3639",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW6037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- South Broward Hospital District (Memorial Urgent Care Center)
- South Broward Hospital District (Memorial Primary Care Employee Health Center-City of Hollywood)
- South FL Assisting LLC
- South Florida Anti-Aging & Aesthetics, LLC (Stone Wellness Center)
- South Florida Cancer Institute
- South Florida Drug & Alcohol Rehab
- South Florida Eye Associates, PA
- South Florida Injury Centers, Inc.
- South Florida Kidney Disease & Hypertension Specialists, PA
- South Florida Medical Centers, Inc (SFMC Group of Oakland Park)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.