Organization · Type 2 NPI

Blaque Lotus Counseling, LLC

Clinical Social Worker · Fort Laurderdale, FL

NPI number 1659283935 Active

Practice location

711 NW 10th Ave Fl
Fort Laurderdale, FL 33311

Mailing address

1317 Edgewater Dr # 5289
Orlando, FL 32804-6350

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

About NPI 1659283935

Blaque Lotus Counseling, LLC's National Provider Identifier is 1659283935, issued on Sep 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Laurderdale, FL. The record was last updated on Sep 21, 2026.