Provider Demographics
NPI:1992972434
Name:BARBARA FLOOD LCSW MA PA
Entity type:Organization
Organization Name:BARBARA FLOOD LCSW MA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-785-0905
Mailing Address - Street 1:1000 W MCNAB RD
Mailing Address - Street 2:SUITE 154
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4719
Mailing Address - Country:US
Mailing Address - Phone:954-785-0905
Mailing Address - Fax:
Practice Address - Street 1:1000 W MCNAB RD
Practice Address - Street 2:SUITE 154
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4719
Practice Address - Country:US
Practice Address - Phone:954-785-0905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00015801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL165936580OtherNPI TYPE 1
FL165936580OtherNPI TYPE 1