Active NPI
Tasheen Fletcher, LCSW
- Clinical Social Worker
- Coconut Creek, FL
National Provider Identifier
1366051872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW17326
- Practice address
- 4716 West Atlantic Blvd
Coconut Creek, FL 33063 - Phone
- (954) 415-2392
- NPI assigned
- Jul 30, 2020
- Reactivated
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW17326 | FL | Primary |
Addresses
Primary practice location
4716 West Atlantic Blvd
Coconut Creek, FL 33063
Mailing address
4716 West Atlantic Blvd
Apt 306
Coconut Creek, FL 33063
Phone (954) 415-2392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW17326 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1366051872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 WEST ATLANTIC BLVD",
"address_2": "APT 306",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "33063",
"telephone_number": "954-415-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 WEST ATLANTIC BLVD",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "33063",
"telephone_number": "954-415-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "TASHEEN",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2024-09-18",
"certification_date": "2022-04-12",
"deactivation_date": "2022-04-12",
"reactivation_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW17326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.