Provider Demographics
NPI:1336176411
Name:VIVIENNE STEINHARDT, LCSW, P.A.
Entity type:Organization
Organization Name:VIVIENNE STEINHARDT, LCSW, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VIVIENNE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:STEINHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-716-2132
Mailing Address - Street 1:7301 W PALMETTO PARK RD
Mailing Address - Street 2:204 A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3458
Mailing Address - Country:US
Mailing Address - Phone:561-716-2132
Mailing Address - Fax:
Practice Address - Street 1:7301 W PALMETTO PARK RD
Practice Address - Street 2:204 A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3458
Practice Address - Country:US
Practice Address - Phone:561-716-2132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 80921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty