| Lisa Zucker, Pa | |
|
3874 Sheridan St Hollywood FL 33021-3634 | |
| (954) 834-3570 | |
| Not Available |
| Full Name | Lisa Zucker, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 3874 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Lisa Zucker (PRESIDENT OF PA) |
| Authorized Official Contact | 9548343570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Zucker, Pa 3874 Sheridan St Hollywood FL 33021-3634 Ph: (954) 834-3570 | Lisa Zucker, Pa 3874 Sheridan St Hollywood FL 33021-3634 Ph: (954) 834-3570 |
| NPI Number | 1619268794 |
|---|---|
| Provider Enumeration Date | 04/25/2011 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 1951587955 |
|---|---|
| Medicare Enrollment ID | O20110509000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619268794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9233 (Florida) | Primary |
| Provider Name | Lisa M Zucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558425629 PECOS PAC ID: 3375729379 Enrollment ID: I20110526000664 |
| Provider Name | Nadine Marie Nord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962144592 PECOS PAC ID: 9234526807 Enrollment ID: I20220428002598 |
| Provider Name | Stephen Eric Bradbery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730755851 PECOS PAC ID: 0042661654 Enrollment ID: I20240108006116 |
| Provider Name | Erin Ladwig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558984526 PECOS PAC ID: 8123461324 Enrollment ID: I20240205002347 |
| Provider Name | Mihaela Stoian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447031588 PECOS PAC ID: 0547605677 Enrollment ID: I20240228004482 |
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