Provider Demographics
NPI:1497769350
Name:HAREL, AARON (LCSW)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:
Last Name:HAREL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 NW 91ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-3422
Mailing Address - Country:US
Mailing Address - Phone:305-498-4025
Mailing Address - Fax:
Practice Address - Street 1:3100 NW 91ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-3422
Practice Address - Country:US
Practice Address - Phone:305-498-4025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW36901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6171Medicare ID - Type UnspecifiedPROVIDER NUMBER