Provider Demographics
NPI:1982395190
Name:ESCOBAR, FLOR DE MARIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FLOR
Middle Name:DE MARIA
Last Name:ESCOBAR
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 1:3017 SALFORD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4298
Mailing Address - Country:US
Mailing Address - Phone:916-717-8407
Mailing Address - Fax:
Practice Address - Street 1:3017 SALFORD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-4298
Practice Address - Country:US
Practice Address - Phone:916-717-8407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW214841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical