Individual provider · Type 1 NPI

Vincent Charles Licata Iii, LCSW

Clinical Social Worker · Fort Lauderdale, FL

NPI number 1891020368 Active

Practice location

330 SW 27th Ave
Fort Lauderdale, FL 33312-2051

Call (954) 791-4300 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW7633 (FL)
Mental Health Counselor 101YM0800XSW7633 (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 1891020368

Vincent Charles Licata Iii, LCSW's National Provider Identifier is 1891020368, issued on Oct 16, 2009. 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 Jun 15, 2021.