Provider Demographics
NPI:1780705210
Name:JANET GORFAIN LCSW PA
Entity type:Organization
Organization Name:JANET GORFAIN LCSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:GORFAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-746-5599
Mailing Address - Street 1:7000 W OAKLAND PARK BLVD
Mailing Address - Street 2:STE #201
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1016
Mailing Address - Country:US
Mailing Address - Phone:954-746-5599
Mailing Address - Fax:954-746-5788
Practice Address - Street 1:7000 W OAKLAND PARK BLVD
Practice Address - Street 2:STE #201
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-1016
Practice Address - Country:US
Practice Address - Phone:954-746-5599
Practice Address - Fax:954-746-5788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5042Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER