Provider Demographics
NPI:1265746804
Name:SINGLETON, LOVE C III (MSW, LISW-S/CP, LCSW)
Entity type:Individual
Prefix:MR
First Name:LOVE
Middle Name:C
Last Name:SINGLETON
Suffix:III
Gender:M
Credentials:MSW, LISW-S/CP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 DEL PRADO BLVD S STE 300-1022
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-6739
Mailing Address - Country:US
Mailing Address - Phone:804-631-9272
Mailing Address - Fax:704-675-7332
Practice Address - Street 1:2472 NW 8TH TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-5715
Practice Address - Country:US
Practice Address - Phone:804-631-9272
Practice Address - Fax:704-675-7332
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCO114381041C0700X
SC142541041C0700X
VA09040108851041C0700X
OHI.1201554.SUPV1041C0700X
FLSW178211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0177960Medicaid
OHH260351Medicare UPIN