Provider Demographics
NPI:1912777947
Name:GELBSPAN, DANIELA (LCSW)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:GELBSPAN
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 1:2801 NE 183RD ST APT 110W
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2126
Mailing Address - Country:US
Mailing Address - Phone:786-302-2846
Mailing Address - Fax:
Practice Address - Street 1:2801 NE 183RD ST APT 110W
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2126
Practice Address - Country:US
Practice Address - Phone:786-302-2846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW120351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty