| Mindy Staum, Lcsw, P.a | |
|
5421 N University Dr Suite 102 Coral Springs FL 33067-4638 | |
| (954) 464-1393 | |
| (954) 340-6859 |
| Full Name | Mindy Staum, Lcsw, P.a |
|---|---|
| Speciality | Social Worker |
| Location | 5421 N University Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Mindy Staum (PRESIDENT) |
| Authorized Official Contact | 9544641393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindy Staum, Lcsw, P.a 5421 N University Dr Suite 102 Coral Springs FL 33067-4638 Ph: (954) 464-1393 | Mindy Staum, Lcsw, P.a 5421 N University Dr Suite 102 Coral Springs FL 33067-4638 Ph: (954) 464-1393 |
| NPI Number | 1083922561 |
|---|---|
| Provider Enumeration Date | 09/19/2010 |
| Last Update Date | 10/12/2018 |
| Medicare PECOS PAC ID | 5890952998 |
|---|---|
| Medicare Enrollment ID | O20120201000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083922561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9941 (Florida) | Primary |
| Provider Name | Sara Zenlea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336456888 PECOS PAC ID: 5395939383 Enrollment ID: I20101103001139 |
| Provider Name | Mindy Staum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104139518 PECOS PAC ID: 3678730777 Enrollment ID: I20120201000377 |
| Provider Name | Kristen M Nitsberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346485174 PECOS PAC ID: 0749521615 Enrollment ID: I20190403001919 |
| Provider Name | Alison M Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417473869 PECOS PAC ID: 5991064230 Enrollment ID: I20200708000983 |
| Provider Name | Mitzi G Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770147365 PECOS PAC ID: 0345658571 Enrollment ID: I20210428000060 |
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