Provider Demographics
NPI:1669648150
Name:SASSOON, CAROL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:
Last Name:SASSOON
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 1:3900 N HILLS DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-701-5526
Mailing Address - Fax:754-323-4234
Practice Address - Street 1:3900 N HILLS DR APT 214
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-2554
Practice Address - Country:US
Practice Address - Phone:954-701-5526
Practice Address - Fax:754-323-4234
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00029691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical