Dr. Phoenix Adams, DSW, LCSW
Social Worker, Clinical in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1558045591
StatusActive
Last updated in NPPESJun 12, 2023
Details
- NPI
- 1558045591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Phoenix Adams
- Credential
- DSW, LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2023
- Certification date
- Jun 11, 2023
- Last updated
- Jun 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 11728 | FL | Yes |
Practice location
2825 Ne 21st AveFort Lauderdale, FL 33306-1209
Phone 954-257-7048
Mailing address
2825 Ne 21st AveFort Lauderdale, FL 33306-1209
Phone 954-257-7048
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