Provider Demographics
NPI:1043613938
Name:NURKIN, ANDRES S (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:S
Last Name:NURKIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:ANDRES
Other - Middle Name:
Other - Last Name:SANTOFIMIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1979 W HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1444
Mailing Address - Country:US
Mailing Address - Phone:954-428-4800
Mailing Address - Fax:
Practice Address - Street 1:1979 W HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1444
Practice Address - Country:US
Practice Address - Phone:954-428-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 222Q00000X
FL144071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist