Provider Demographics
NPI:1639490980
Name:SEK, AIDA LELLY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AIDA
Middle Name:LELLY
Last Name:SEK
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 1:7365 CHESAPEAKE CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-8546
Mailing Address - Country:US
Mailing Address - Phone:561-577-3666
Mailing Address - Fax:
Practice Address - Street 1:1700 NW BOCA RATON BLVD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1616
Practice Address - Country:US
Practice Address - Phone:561-506-8450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW099287881041C0700X
FLSW159551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical