Provider Demographics
NPI:1932398112
Name:VASQUEZ FRAGA, CLAUDIA (LCSW)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:VASQUEZ FRAGA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:FRAGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CLAUDIA FRAGA
Mailing Address - Street 1:8370 W FLAGLER ST
Mailing Address - Street 2:SUITE 232
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2094
Mailing Address - Country:US
Mailing Address - Phone:305-551-9669
Mailing Address - Fax:305-551-5891
Practice Address - Street 1:8370 W FLAGLER ST
Practice Address - Street 2:SUITE 232
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2094
Practice Address - Country:US
Practice Address - Phone:305-551-9669
Practice Address - Fax:305-551-5891
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 67061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical