MRS. NICOLE LYNN VREDENBURG (NPI# 1558497719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558497719 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE LYNN VREDENBURG |
| Credential | LCSW |
| Practice Address |
4302 W Broward Blvd Suite 800 Plantation FL 33317-3780 |
| Mailing Address |
4302 W. Broward Blvd. Suite 800 Plantation FL 33317 |
| Practice Telephone | 9548546533 |
| Mailing Telephone | 9548546533 |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2013-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW9372 | FL | Behavioral Health & Social Service Providers |
| N | 253J00000X | Foster Care Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 767163600 | 05 |
| Street Address |
4302 W BROWARD BLVD SUITE 800 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-3780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861448607 | William John Dickerson II | Internal Medicine | 4302 W Broward Blvd, Suite 200, Plantation, FL 33317-3780 | 2006-05-25 |
| 1962716506 | Comprehensive Neurobehavioral Institute Pllc | Chiropractor | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2010-08-05 |
| 1063630861 | David B. Ross | Psychiatry & Neurology | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2007-04-24 |
| 1225137300 | Jeffrey M Gran Psy D Pa | Clinical Neuropsychologist | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2006-09-22 |
| 1679599310 | Jeffrey Miles Gran | Clinical Neuropsychologist | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248953 | Lisa M Crooks | Social Worker | 761 Nw 66th Ave, Plantation, FL 33317-1731 | 2019-07-27 |
| 1568927705 | Peaceful Prana Therapy, LLC | Social Worker | 2300 E Oakland Pk Blvd, Ste 206, Plantation, FL 33306 | 2019-02-01 |
| 1093208688 | Elizabeth Rachel Shaw | Social Worker | 2761 Nw 119th Ave, Plantation, FL 33323-1749 | 2018-06-08 |
| 1740783729 | Catalina Granja, Lcsw, Inc | Social Worker | 1001 Nw 70th Ave Rm 306, Plantation, FL 33313-6028 | 2018-03-15 |
| 1538678891 | Paige Schwartz | Social Worker | 500 W Tropical Way, Plantation, FL 33317-3346 | 2017-09-29 |
| 1184157067 | Victoria Lorena Perez | Social Worker | 150 S Pine Island Rd, # 300, Plantation, FL 33324-2669 | 2017-04-06 |
| 1922540640 | Juliana Aracena | Social Worker | 1100 Nw 81st Ter, Plantation, FL 33322-5713 | 2016-11-11 |
| 1568810844 | Elana Polsyn | Social Worker | 9319 W Sunrise Blvd, Plantation, FL 33322-5635 | 2016-05-27 |
| 1962868711 | Nandranie Busjit Bhalai | Social Worker | 380 Bryan Blvd, Plantation, FL 33317-3749 | 2016-01-10 |
| 1720467970 | Hollis Silverman | Social Worker | 1141 Sw 75th Ave, Plantation, FL 33317-3236 | 2015-05-20 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.