Provider Demographics
NPI:1104915214
Name:BOUMEL, ARLENE G (LCSW)
Entity type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:G
Last Name:BOUMEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1750 NW 88TH WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6173
Mailing Address - Country:US
Mailing Address - Phone:954-612-5902
Mailing Address - Fax:954-341-1321
Practice Address - Street 1:5551 N UNIVERSITY DR STE 202
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4651
Practice Address - Country:US
Practice Address - Phone:954-612-5902
Practice Address - Fax:954-796-1070
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW20481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7492Medicare PIN