Provider Demographics
NPI:1932412350
Name:LOUISE K. CENTER, MSW LCSW PA
Entity Type:Organization
Organization Name:LOUISE K. CENTER, MSW LCSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:CENTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-652-0222
Mailing Address - Street 1:1041 IVES DAIRY RD
Mailing Address - Street 2:SUITE 138
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2539
Mailing Address - Country:US
Mailing Address - Phone:305-652-0222
Mailing Address - Fax:305-652-0202
Practice Address - Street 1:1041 IVES DAIRY RD
Practice Address - Street 2:SUITE 138
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2539
Practice Address - Country:US
Practice Address - Phone:305-652-0222
Practice Address - Fax:305-652-0202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3776104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6780CMedicare PIN