Provider Demographics
NPI:1780273862
Name:CUEVAS, SANDRA (CSW)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 SE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-4540
Mailing Address - Country:US
Mailing Address - Phone:561-266-8866
Mailing Address - Fax:561-404-4735
Practice Address - Street 1:9645 BAYMEADOWS RD APT 773
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7834
Practice Address - Country:US
Practice Address - Phone:843-450-3629
Practice Address - Fax:561-404-4735
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-13
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW222661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical