Prad LB LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRAD LB LLC

Practice address

1533 SE 5TH St
Deerfield Beach, FL 33441-4927

Phone

(646) 739-3642

NPI assigned

Mar 24, 2023

Last updated

Mar 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniele DeoliveiraNPI 1699237222

Title

LCSW

Phone

(646) 739-3642

Specialties & licenses 1

Addresses

Other names 1

• PRAD LB LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniele Deoliveira

  • Clinical Social Worker
  • Atlantic Highlands, NJ
  • NPI 1699237222
  NPD Authorized official

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1891498150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 SE 5TH ST",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414927",
            "telephone_number": "646-739-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 SE 5TH ST",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414927",
            "telephone_number": "646-739-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAD LB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "DEOLIVEIRA",
        "authorized_official_first_name": "DANIELE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "646-739-3642"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAD LB LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Deerfield Beach, FL
• Providers in Deerfield Beach, 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 Mar 24, 2023; 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.