Provider Demographics
NPI:1609532886
Name:DE LA ESPRIELLA, BEATRIZ (LCSW)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:DE LA ESPRIELLA
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 1:1009 FALLS OF VENICE CIR
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-3948
Mailing Address - Country:US
Mailing Address - Phone:407-446-7261
Mailing Address - Fax:
Practice Address - Street 1:1009 FALLS OF VENICE CIR
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-3948
Practice Address - Country:US
Practice Address - Phone:407-446-7261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW188391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical