Provider Demographics
NPI:1477697399
Name:PFEIFFER, LILIAN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LILIAN
Middle Name:
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LILIAN
Other - Middle Name:
Other - Last Name:CAMPOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 N HIATUS RD
Mailing Address - Street 2:201
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-5207
Mailing Address - Country:US
Mailing Address - Phone:954-437-0822
Mailing Address - Fax:954-212-0477
Practice Address - Street 1:600 N HIATUS RD
Practice Address - Street 2:201
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5207
Practice Address - Country:US
Practice Address - Phone:954-437-0822
Practice Address - Fax:954-212-0477
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 48231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
E0496AMedicare ID - Type Unspecified