Individual provider · Type 1 NPI

Debra J. Tantillo

Clinical Social Worker · Fort Lauderdale, FL

NPI number 1376822981 Active

Practice location

6750 N Andrews Ave Ste 200
Fort Lauderdale, FL 33309-2180

Fax (954) 772-1023

Mailing address

333 NW 46th St
Fort Lauderdale, FL 33309-4010

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW5538 (FL)

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 1376822981

Debra J. Tantillo's National Provider Identifier is 1376822981, issued on Aug 12, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Lauderdale, FL. The record was last updated on May 14, 2026.