Organization Name: | STACY SARNOFF, LCSW, PA |
NPI Number: | 1033408315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACY BETH SARNOFF (THERAPIST) |
Mailing Address: | 1515 N University Dr Suite 113 Coral Springs |
State: | FL US |
Postal Code: | 330716096 |
Phone Number: | 9547967080 |
Fax Number: | 9543400738 |
NPI Enumeration Date: | 04/07/2011 |
NPI Last Update Date: | 04/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW3731 |
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 |