Individual provider · NPI-1

Aisha Atis, LCSW

Social Worker, Clinical · Plantation, FL

NPI number1346617529
StatusActive
Last updated in NPPESAug 11, 2023

Details

NPI
1346617529
Entity type
Individual (NPI-1)
Name
Aisha Atis
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 24, 2015
Certification date
Aug 8, 2023
Last updated
Aug 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
1041C0700X Social Worker, ClinicalSW19017FL

Practice location

7580 Nw 5th Street
#16201
Plantation, FL 33317

Phone 954-347-5394

Mailing address

7580 Nw 5th St # 16201
Plantation, FL 33317-1607

Phone 954-347-5394

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker, Clinical providers in Plantation, FL