Provider Demographics
NPI:1790884286
Name:LOZANO, AMPARO EDITH (LCSW)
Entity Type:Individual
Prefix:
First Name:AMPARO EDITH
Middle Name:
Last Name:LOZANO
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 1:6800 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2149
Mailing Address - Country:US
Mailing Address - Phone:954-609-9425
Mailing Address - Fax:954-749-4954
Practice Address - Street 1:6800 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-2149
Practice Address - Country:US
Practice Address - Phone:954-609-9425
Practice Address - Fax:954-749-4954
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 35901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical