Provider Demographics
NPI:1306172499
Name:BICHACHI, DEBRA L (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:L
Last Name:BICHACHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:L
Other - Last Name:SWARZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3475 SHERIDAN ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3663
Mailing Address - Country:US
Mailing Address - Phone:954-962-6662
Mailing Address - Fax:954-962-6164
Practice Address - Street 1:3475 SHERIDAN ST
Practice Address - Street 2:SUITE 310
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3663
Practice Address - Country:US
Practice Address - Phone:954-962-6662
Practice Address - Fax:954-962-6164
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW96581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical