Provider Demographics
NPI:1639130339
Name:SYFRETT, DAVID ABRAM (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ABRAM
Last Name:SYFRETT
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 1:2006 NW 17TH LN
Mailing Address - Street 2:SOCIAL WORK SERVICE
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3912
Mailing Address - Country:US
Mailing Address - Phone:352-642-2210
Mailing Address - Fax:
Practice Address - Street 1:4150 CLEMENT STREET
Practice Address - Street 2:SOCIAL WORK SERVICE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121
Practice Address - Country:US
Practice Address - Phone:414-221-4810
Practice Address - Fax:415-750-6976
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW947971041C0700X
FLSW48911041C0700X
GACSW0041991041C0700X
NCC0046991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical