Individual
CHARLOTTE D IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S, PH.D.
Contact information
Practice address
6278 N FEDERAL HIGHWAY, #703, FORT LAUDERDALE, FL 33308-1916
(216) 491-1735
Mailing address
6278 N FEDERAL HIGHWAY, #703, FORT LAUDERDALE, FL 33308-1916
(216) 491-1735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 4840
OH
1041C0700X
Clinical Social Worker
SW21197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264586
—
OH
Enumeration date
06/15/2007
Last updated
08/01/2024
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