Michael Bettencourt Lcsw Llc in Fort Lauderdale - Clinical
Michael Bettencourt Lcsw Llc - NPI 1891998720
Michael Bettencourt Lcsw Llc is a Clinical in Fort Lauderdale, Florida. Michael Bettencourt Lcsw Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Bettencourt Lcsw Llc is 1891998720. The last update date is 2018-03-19.
Michael Bettencourt Lcsw Llc'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 Lcsw Llc is 2805 E Oakland Park Blvd # 174, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael Bettencourt Lcsw Llc |
|---|---|
| Address | 2805 E Oakland Park Blvd # 174, Fort Lauderdale, Florida |
| Phone Number | 6178696182 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bettencourt Michael |
| Credentials | LCSW |
| Telephone Number | 6178696182 |
NPI Number Detail
| NPI Number | 1891998720 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| 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 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1852612 | MA | -- | |
| 461417 | MA | TUFTS PROVIDER NUMBER | |
| P08075 | MA | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael Bettencourt Lcsw Llc by the Centers for Medicare & Medicaid Services?
The Michael Bettencourt Lcsw Llc has been assigned the NPI (National Provider Identifier) 1891998720 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Michael Bettencourt Lcsw Llc's facilities are situated?
The facilities of Michael Bettencourt Lcsw Llc are physically located at the following address: 2805 E Oakland Park Blvd # 174, Fort Lauderdale, FL, 333061813.
What is Michael Bettencourt Lcsw Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael Bettencourt Lcsw Llc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Michael Bettencourt Lcsw Llc receive the assignment of its 1891998720 from the Centers for Medicare & Medicaid Services?
The Michael Bettencourt Lcsw Llc was issued its 1891998720 by the Centers for Medicare & Medicaid Services on 2007-06-07.
As of what date was the information pertaining to Michael Bettencourt Lcsw Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Bettencourt Lcsw Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-19.