Provider Demographics
NPI:1407170483
Name:DEENA WEISS PA
Entity Type:Organization
Organization Name:DEENA WEISS PA
Other - Org Name:DEENA WEISS & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-303-1274
Mailing Address - Street 1:2100 NE 197TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3128
Mailing Address - Country:US
Mailing Address - Phone:305-303-1274
Mailing Address - Fax:305-933-1207
Practice Address - Street 1:2100 NE 197TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3128
Practice Address - Country:US
Practice Address - Phone:305-303-1274
Practice Address - Fax:305-933-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-20
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW31741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty