Organization · Type 2 NPI

Sunnyside Love Extravagant Group LLC

Clinical Social Worker · Miramar, FL

NPI number 1629603154 Active

Practice location

3600 S State Road 7 Ste 344
Miramar, FL 33023-7203

Call (786) 575-3801 Map

Fax (877) 384-2630

Other practice locations

  • 1701 W Flagler St Ste 310, Miami, FL 33135-2099 · (786) 575-3801

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
School Counselor 101YS0200XNone listed
Behavior Analyst 103K00000XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
School Social Worker 1041S0200XNone listed
Health Educator 174H00000XNone listed
Case Management Agency 251B00000XNone listed
Community Based Hospice Care Agency 251G00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone 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 1629603154

Sunnyside Love Extravagant Group LLC's National Provider Identifier is 1629603154, issued on Mar 4, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Miramar, FL. The record was last updated on Aug 8, 2021.