Provider Demographics
NPI:1104837798
Name:NORTH, CINDY JILL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:JILL
Last Name:NORTH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1931 NW 150TH AVE
Mailing Address - Street 2:124
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2877
Mailing Address - Country:US
Mailing Address - Phone:954-322-1005
Mailing Address - Fax:954-322-1005
Practice Address - Street 1:1931 NW 150TH AVE
Practice Address - Street 2:124
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2877
Practice Address - Country:US
Practice Address - Phone:954-322-1005
Practice Address - Fax:954-322-1005
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW39701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI5230039OtherAETNA
FL105193OtherVALUE OPTIONS
FL1104837798OtherUNITED HEALTHCARE
FLCINDYNORTHOtherUNIVERSITY OF MIAMI BEHAVIORAL HEALTH
FLCINDYNORTHOtherAVMED
CINDYNORTHOtherMANAGED CARE CONCEPTS
FL29418541OtherCIGNA
FL001524800OtherSTAYWELL/WELLCARE OF FLORIDA
FLCINDYNORTHOtherMAGELLAN BEHAVIORAL HEALTH
FLZ6847AMedicare UPIN
FL001524800OtherSTAYWELL/WELLCARE OF FLORIDA
NJ7802OUTOFSTATEMedicare UPIN