Provider Demographics
NPI:1821703125
Name:DAVIDSON, FLORANCE JEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:FLORANCE
Middle Name:JEAN
Last Name:DAVIDSON
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 1:2647 NW 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-2102
Mailing Address - Country:US
Mailing Address - Phone:754-300-0457
Mailing Address - Fax:
Practice Address - Street 1:2647 NW 42ND AVE
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33066
Practice Address - Country:US
Practice Address - Phone:843-263-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW157011041C0700X
FLSW217651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical