Provider Demographics
NPI:1114402906
Name:OSCAR, EDWIGE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EDWIGE
Middle Name:
Last Name:OSCAR
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 1:20533 BISCAYNE BLVD # 4-309
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1529
Mailing Address - Country:US
Mailing Address - Phone:786-352-2002
Mailing Address - Fax:
Practice Address - Street 1:20533 BISCAYNE BLVD # 4-309
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1529
Practice Address - Country:US
Practice Address - Phone:786-352-2002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW13788101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health