Provider Demographics
NPI:1659362580
Name:FLOOD, BARBARA NMI (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:NMI
Last Name:FLOOD
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 1:1000 W MCNAB RD
Mailing Address - Street 2:SUITE 154
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4719
Mailing Address - Country:US
Mailing Address - Phone:954-785-0905
Mailing Address - Fax:
Practice Address - Street 1:1000 W MCNAB RD
Practice Address - Street 2:SUITE 154
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4719
Practice Address - Country:US
Practice Address - Phone:954-785-0905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0015801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ2775Medicare ID - Type Unspecified