Josephine Acevedo-Massa, MSW

Individual provider Active NPI Clinical Social Worker · Sunrise, FL

NPI 1275845224 · NPPES record last updated Jul 7, 2010

Key facts

NPI
1275845224
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW1019 (FL)
Practice address
10001 W Oakland Park Blvd Ste 201
Sunrise, FL 33351-6925
Phone
(954) 746-5200
Fax
(954) 746-5216
NPI assigned
Jul 7, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW1019FLMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW1019 FL Yes

Addresses

Primary practice location

10001 W Oakland Park Blvd Ste 201
Sunrise, FL 33351-6925

Mailing address

15225 NW 4TH St
Pembroke Pines, FL 33028-1802
Phone (954) 625-5850

Other providers in Sunrise, FL

All providers in Sunrise, FL · Clinical Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.