Provider Demographics
NPI:1104549450
Name:NOEL, NADETTE (CLINICAL SOCIAL WORK)
Entity type:Individual
Prefix:
First Name:NADETTE
Middle Name:
Last Name:NOEL
Suffix:
Gender:
Credentials:CLINICAL SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 E OAKLAND PARK BLVD SUIT 9
Mailing Address - Street 2:#1168
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1803
Mailing Address - Country:US
Mailing Address - Phone:954-295-0244
Mailing Address - Fax:
Practice Address - Street 1:5131 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-5015
Practice Address - Country:US
Practice Address - Phone:954-268-9503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW199041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty