Provider Demographics
NPI:1649229626
Name:CUTLER, RONNI (LCSW, CAP)
Entity Type:Individual
Prefix:MS
First Name:RONNI
Middle Name:
Last Name:CUTLER
Suffix:
Gender:F
Credentials:LCSW, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 SAND DRIFT WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1852
Mailing Address - Country:US
Mailing Address - Phone:561-684-1991
Mailing Address - Fax:561-828-9272
Practice Address - Street 1:5887 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3209
Practice Address - Country:US
Practice Address - Phone:561-965-8699
Practice Address - Fax:561-967-2113
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW42051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7242ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER