Provider Demographics
NPI:1427174978
Name:FLUG, PENINA (LCSW)
Entity type:Individual
Prefix:
First Name:PENINA
Middle Name:
Last Name:FLUG
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 1:3717 W BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-4540
Mailing Address - Country:US
Mailing Address - Phone:561-738-2000
Mailing Address - Fax:561-735-3688
Practice Address - Street 1:3717 W BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4540
Practice Address - Country:US
Practice Address - Phone:561-738-2000
Practice Address - Fax:561-735-3688
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 85011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical