Provider Demographics
NPI:1790097236
Name:PINDER, JILL TOURVILLE (MSW, LCSW, CAP)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:TOURVILLE
Last Name:PINDER
Suffix:
Gender:F
Credentials:MSW, LCSW, CAP
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:NOELLE
Other - Last Name:TOURVILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:12401 STIRLING RD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-3211
Mailing Address - Country:US
Mailing Address - Phone:954-520-0725
Mailing Address - Fax:954-680-2030
Practice Address - Street 1:12401 STIRLING RD
Practice Address - Street 2:SUITE 211
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330-3211
Practice Address - Country:US
Practice Address - Phone:954-520-0725
Practice Address - Fax:954-680-2030
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2011-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW45671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical