Individual provider · Type 1 NPI

Debra Diane, LCSW

Clinical Social Worker · Fort Lauderdale, FL

NPI number 1861757239 Active

Practice location

2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519

Call (954) 731-5100 Map

Fax (954) 497-3857

Mailing address

4740 N State Road 7 Ste 201
Lauderdale Lakes, FL 33319-5839

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XSW10293 (FL)
Clinical Social Worker Primary 1041C0700XSW10293 (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 1861757239

Debra Diane, LCSW's National Provider Identifier is 1861757239, issued on Jul 11, 2012. 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 Nov 5, 2020.