Provider Demographics
NPI:1386691335
Name:BRODY, DENISE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:BRODY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20283 STATE ROAD 7 STE 300
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6903
Mailing Address - Country:US
Mailing Address - Phone:561-477-4211
Mailing Address - Fax:561-482-2690
Practice Address - Street 1:20283 STATE ROAD 7 STE 300
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6903
Practice Address - Country:US
Practice Address - Phone:561-477-4211
Practice Address - Fax:561-482-2690
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
FLSW00044821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical