Organization Active NPI

South Florida Center for Counseling and Therapy

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1245444843
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6037 Issued in FL
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

Updated by the provider on Feb 14, 2011

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.