Provider Demographics
NPI:1871188292
Name:PINCUS, NEELAH (LCSW)
Entity Type:Individual
Prefix:
First Name:NEELAH
Middle Name:
Last Name:PINCUS
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 1:1475 CAMELLIA CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3616
Mailing Address - Country:US
Mailing Address - Phone:305-733-8813
Mailing Address - Fax:
Practice Address - Street 1:1475 CAMELLIA CIR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3616
Practice Address - Country:US
Practice Address - Phone:305-733-8813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9639104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker