Provider Demographics
NPI:1790921823
Name:MCAFEE, SLOAN (LCSW)
Entity Type:Individual
Prefix:
First Name:SLOAN
Middle Name:
Last Name:MCAFEE
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 1:7741 4TH TER
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-8114
Mailing Address - Country:US
Mailing Address - Phone:561-963-6124
Mailing Address - Fax:
Practice Address - Street 1:7741 4TH TER
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-8114
Practice Address - Country:US
Practice Address - Phone:561-963-6124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW7875171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL767317500Medicaid