Organization Active NPI

Denise Lederman LCSW, LNC, PA

  • Community/Behavioral Health Agency
  • Palm Beach Gardens, FL
National Provider Identifier
1598092827
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW4939 Issued in FL
Legal business name
DENISE LEDERMAN LCSW, LNC, PA
Practice address
36000 Portofino Cir
Suite 114
Palm Beach Gardens, FL 33418-1284
Phone
(954) 234-9018
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Mrs. Denise Renee Lederman, LCSW
Title
President
Phone
(954) 234-9018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW4939 FL Primary

Addresses

Primary practice location

36000 Portofino Cir
Suite 114
Palm Beach Gardens, FL 33418-1284

Mailing address

36000 Portofino Cir
Suite 114
Palm Beach Gardens, FL 33418-1284
Phone (954) 234-9018

National Provider Directory

National Provider Directory

Locations

3307 Northlake Blvd
Palm Beach Gardens, FL 33403
Phone (561) 309-7186

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1598092827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36000 PORTOFINO CIR",
            "address_2": "SUITE 114",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181284",
            "telephone_number": "954-234-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 PORTOFINO CIR",
            "address_2": "SUITE 114",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181284",
            "telephone_number": "954-234-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE LEDERMAN LCSW, LNC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "LEDERMAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-234-9018",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW4939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.