Provider Demographics
NPI:1437779998
Name:STONE, DEANNA ROSE (RCSWI, CAP, ICADC)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:ROSE
Last Name:STONE
Suffix:
Gender:F
Credentials:RCSWI, CAP, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1466 HOLLY HEIGHTS DR APT 1
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4774
Mailing Address - Country:US
Mailing Address - Phone:516-852-5893
Mailing Address - Fax:
Practice Address - Street 1:4101 N ANDREWS AVE STE 209
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-4775
Practice Address - Country:US
Practice Address - Phone:516-852-5893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-24
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW200421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical