Beverley N Mucciardi LCSW PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 5218 Issued in FL

Legal business name

BEVERLEY N MUCCIARDI LCSW PA

Practice address

10100 W Sample Rd
Suite 332
Coral Springs, FL 33065-3973

Phone

(954) 825-0020

Fax

(954) 825-0044

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Beverley Nitsch Mucciardi, LCSW

Title

Presisdent

Phone

(954) 825-0020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306924600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 W SAMPLE RD",
            "address_2": "SUITE 332",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653973",
            "telephone_number": "954-825-0020",
            "fax_number": "954-825-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 W SAMPLE RD",
            "address_2": "SUITE 332",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653973",
            "telephone_number": "954-825-0020",
            "fax_number": "954-825-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLEY N MUCCIARDI LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUCCIARDI",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_middle_name": "NITSCH",
        "authorized_official_title_or_position": "PRESISDENT",
        "authorized_official_telephone_number": "954-825-0020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Social Worker 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.