Provider Demographics
NPI:1073030920
Name:ASTRALAGA, PAULA ANDREA (LCSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:ANDREA
Last Name:ASTRALAGA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11994 MCKINNON RD
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6123
Mailing Address - Country:US
Mailing Address - Phone:321-689-0195
Mailing Address - Fax:
Practice Address - Street 1:13350 W COLONIAL DR STE 340
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3977
Practice Address - Country:US
Practice Address - Phone:407-654-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW138881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical