Provider Demographics
NPI:1003910639
Name:WOJCIK, RAFAL ROBERT (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RAFAL
Middle Name:ROBERT
Last Name:WOJCIK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15292 SW 104TH ST
Mailing Address - Street 2:APT.#1115
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3294
Mailing Address - Country:US
Mailing Address - Phone:305-388-3267
Mailing Address - Fax:305-575-3298
Practice Address - Street 1:1201 NW 16TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1624
Practice Address - Country:US
Practice Address - Phone:786-295-5626
Practice Address - Fax:305-575-3298
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 69261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical