Provider Demographics
NPI:1710111828
Name:BRIAN SCHAFLIN, LCSW, PA
Entity Type:Organization
Organization Name:BRIAN SCHAFLIN, LCSW, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAFLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-843-0152
Mailing Address - Street 1:7200 W CAMINO REAL
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5511
Mailing Address - Country:US
Mailing Address - Phone:561-843-0152
Mailing Address - Fax:561-347-1425
Practice Address - Street 1:7200 W CAMINO REAL
Practice Address - Street 2:SUITE 104
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5511
Practice Address - Country:US
Practice Address - Phone:561-843-0152
Practice Address - Fax:561-347-1425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6032OtherBCBS
FLZ6032OtherBCBS