Doctor Name: | ROSA ESTELA FLINT |
NPI Number: | 1023165842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BC, LCSW |
License Number: | SW - 6112 |
Business Practice Address: | 190 Mc Iver Ln Rockledge, FL - 32955 |
Business Phone Number: | 3216318569 |
Business Fax Number: | |
Mailing Address: | 23 Broad Sreet, TITUSVILLE |
State: | FL |
Postal Code: | 32796 |
Phone Number: | 3212892818 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW - 6112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |