Provider Demographics
NPI:1336248202
Name:CASAS, LIBIA TERESA (LCSW)
Entity Type:Individual
Prefix:
First Name:LIBIA
Middle Name:TERESA
Last Name:CASAS
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 1:10631 N KENDALL DR STE 1201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1730
Mailing Address - Country:US
Mailing Address - Phone:305-270-6100
Mailing Address - Fax:305-270-6325
Practice Address - Street 1:10631 N KENDALL DR STE 1201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1730
Practice Address - Country:US
Practice Address - Phone:305-270-6100
Practice Address - Fax:305-270-6325
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW31561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5589Medicare ID - Type Unspecified