Provider Demographics
NPI:1629844972
Name:MOREIRA AFONSO, ANA CAROLINA (MSW)
Entity Type:Individual
Prefix:
First Name:ANA CAROLINA
Middle Name:
Last Name:MOREIRA AFONSO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1761 W HILLSBORO BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1561
Mailing Address - Country:US
Mailing Address - Phone:954-513-8037
Mailing Address - Fax:754-732-6176
Practice Address - Street 1:1761 W HILLSBORO BLVD STE 202
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1561
Practice Address - Country:US
Practice Address - Phone:954-513-8037
Practice Address - Fax:754-732-6176
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW17874104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker