Family Service Agency, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAMILY SERVICE AGENCY, INC

Practice address

3347 N University Dr
Hollywood, FL 33024-2299

Phone

(954) 587-7880

Fax

(954) 587-3229

NPI assigned

Feb 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce C Wallin, LCSW

Title

President and Ceo

Phone

(954) 587-7880

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Rosita Grant, LCSW

  • Clinical Social Worker
  • Ft Lauderdale, FL
  • NPI 1497894851
  NPD (past)
• Adria Amy Labiner, LCSW

  • Clinical Social Worker
  • Weston, FL
  • NPI 1669524443
  NPD (past)
• Jennifer H Mendoza, PHD

  • Psychologist
  • Palmetto, FL
  • NPI 1083602544
  NPD (past)
• Jairo Serna, LCSW, LMFT

  • Clinical Social Worker
  • Coral Gables, FL
  • NPI 1902920572
  NPD (past)
• Tara Veline Mirkar, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1326273764
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295860146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 N UNIVERSITY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242299",
            "telephone_number": "954-587-7880",
            "fax_number": "954-587-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 N UNIVERSITY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242299",
            "telephone_number": "954-587-7880",
            "fax_number": "954-587-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "954-587-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Lingo
• Family Medical Center of Hollywood PA
• Family Medical Group Hollywood, LLC
• Family Medical Supplies LLC
• Family Physician Partners Inc
• Family Urgent Care of Hollywood, P.a.
• Aissel Faquir, APRN
• Steven Faragalla
• Stuart Paul Farber, M.D.
• Faris a. Hanna, MD, PA

• Community/Behavioral Health Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.