Provider Demographics
NPI:1376886978
Name:CLINE, PHILIP ANDREW (MSW)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:ANDREW
Last Name:CLINE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 E WINDWARD WAY APT 515
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-8032
Mailing Address - Country:US
Mailing Address - Phone:954-483-7141
Mailing Address - Fax:561-588-5464
Practice Address - Street 1:804 E WINDWARD WAY APT 515
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-8032
Practice Address - Country:US
Practice Address - Phone:954-483-7141
Practice Address - Fax:561-588-5464
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW114871041C0700X, 171M00000X, 102L00000X, 101YA0400X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker