Provider Demographics
NPI:1992364442
Name:ROBERT J SCARDINO LCSW PLLC
Entity Type:Organization
Organization Name:ROBERT J SCARDINO LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-707-9979
Mailing Address - Street 1:2312 WILTON DR STE 36
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-1249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2312 WILTON DR STE 36
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1249
Practice Address - Country:US
Practice Address - Phone:954-707-9979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-09
Last Update Date:2019-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty