Joy Brakel, LCSW

Individual provider Active NPI Clinical Social Worker · Key West, FL

NPI 1366445553 · NPPES record last updated Mar 17, 2015

Key facts

NPI
1366445553
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW11871 (FL)
Practice address
1300 Douglas Cir
Key West, FL 33040-4536
Phone
(305) 293-4861
Fax
(305) 293-4813
NPI assigned
May 23, 2005
Reactivated
Mar 24, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
SW11871FLMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW11871 FL Yes

Addresses

Primary practice location

1300 Douglas Cir
Key West, FL 33040-4536

Mailing address

1300 Douglas Cir
Key West, FL 33040-4536
Phone (305) 293-4861

Other providers in Key West, FL

All providers in Key West, FL · Clinical Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.