Provider Demographics
NPI:1912973348
Name:CROSKEY, LUVERNICE (LCSW,LMFT)
Entity Type:Individual
Prefix:
First Name:LUVERNICE
Middle Name:
Last Name:CROSKEY
Suffix:
Gender:F
Credentials:LCSW,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12955 BISCAYNE BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2021
Mailing Address - Country:US
Mailing Address - Phone:305-895-3307
Mailing Address - Fax:305-895-1737
Practice Address - Street 1:12955 BISCAYNE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2021
Practice Address - Country:US
Practice Address - Phone:305-895-3307
Practice Address - Fax:305-895-1737
Is Sole Proprietor?:No
Enumeration Date:2006-02-25
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT569106H00000X
FLSW5551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ105BOtherBLUE CROSS BLUE SHIELD
FLZ7316OtherBLUE CROSS BLUE SHIELD
FL763421800Medicaid