Provider Demographics
NPI:1346577889
Name:LEDERMAN, DENISE RENEE (LCSW, LNC)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:RENEE
Last Name:LEDERMAN
Suffix:
Gender:F
Credentials:LCSW, LNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29000 PORTOFINO CIR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1275
Mailing Address - Country:US
Mailing Address - Phone:954-234-9018
Mailing Address - Fax:
Practice Address - Street 1:3450 NORTHLAKE BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1707
Practice Address - Country:US
Practice Address - Phone:954-234-9018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW49391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical