Michael Bettencourt in Fort Lauderdale - Clinical

Michael Bettencourt - NPI 1447389846

Michael Bettencourt is a Clinical in Fort Lauderdale, Florida. Michael Bettencourt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Bettencourt is 1447389846. The last update date is 2018-03-19.

Michael Bettencourt's current location address is 2805 E Oakland Park Blvd # 174, Fort Lauderdale, Florida. You can contact this provider via phone number 6178696182. The mailing address for Michael Bettencourt is 2805 E Oakland Park Blvd # 174, Fort Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Bettencourt
Address 2805 E Oakland Park Blvd # 174, Fort Lauderdale, Florida
Phone Number 6178696182
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1447389846
Provider Enumeration Date 2007-03-04
Last Updated Date 2018-03-19

Provider Mailing Address Detail

Address 2805 E Oakland Park Blvd # 174
City Fort Lauderdale
State Florida (FL)
Post Code 333061813
Phone Number 6178696182
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 111335
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1852612 MA --

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FAQs about Michael Bettencourt

What is the unique provider identifier assigned to Michael Bettencourt?

The Michael Bettencourt has been issued the NPI (National Provider Identifier) 1447389846 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Michael Bettencourt is physically located?

The Michael Bettencourt is situated at the following address: 2805 E Oakland Park Blvd # 174, Fort Lauderdale, FL 333061813.

What is the Michael Bettencourt's specialty and taxonomy code?

The Michael Bettencourt's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447389846 to Michael Bettencourt?

The Michael Bettencourt received its 1447389846 assignment from the Centers for Medicare & Medicaid Services on 2007-03-04.

As of what date were the details pertaining to Michael Bettencourt last refreshed?

The information related to the Michael Bettencourt, including its address, specialty, and other relevant details, was last updated on 2018-03-19.

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