Organization · Type 2 NPI

Bold Freedom LLC

Clinical Social Worker · Plantation, FL

NPI number 1205763802 Active

Practice location

1121 NW 111th Ave
Plantation, FL 33322-7826

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1205763802

Bold Freedom LLC's National Provider Identifier is 1205763802, issued on May 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plantation, FL. The record was last updated on May 6, 2026.