Issa, Sherri

Issa, Sherri is an individual health care provider with primary practice located at 2808 Ne 22Nd St , Fort Lauderdale FL 33305-2804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Issa, Sherri can be contacted via phone (954) 564-9460.

Contact Information

Primary practice address
2808 Ne 22Nd St Fort Lauderdale FL 33305-2804
Phone: (954) 564-9460
Fax: (954) 564-1371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6069 Florida

Profile Details

NPI number 1730164914
LBN Legal business name Issa, Sherri
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2005
Last updated Sep 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730164914 NPPES
Florida Other Z0803A MEDICARE PART B

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