Provider Demographics
NPI:1972586626
Name:SUNSHINE, JANET (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:SUNSHINE
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 1:398 CAMINO GARDENS BLVD
Mailing Address - Street 2:STE 207
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5827
Mailing Address - Country:US
Mailing Address - Phone:954-417-8621
Mailing Address - Fax:561-391-3574
Practice Address - Street 1:398 CAMINO GARDENS BLVD
Practice Address - Street 2:STE 207
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5827
Practice Address - Country:US
Practice Address - Phone:954-426-0410
Practice Address - Fax:954-596-4822
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW59441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE4136Medicare ID - Type Unspecified