Provider Demographics
NPI:1447237011
Name:MEHLMAN, DEENA L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:L
Last Name:MEHLMAN
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 1:1040 WESTON ROAD
Mailing Address - Street 2:#210
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326
Mailing Address - Country:US
Mailing Address - Phone:954-349-2777
Mailing Address - Fax:954-349-3440
Practice Address - Street 1:1040 WESTON ROAD
Practice Address - Street 2:#210
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326
Practice Address - Country:US
Practice Address - Phone:954-349-2777
Practice Address - Fax:954-349-3440
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW61141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical