Provider Demographics
NPI:1659641744
Name:MUSZKIEWICZ, CARROLL CLAUDETTE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CARROLL
Middle Name:CLAUDETTE
Last Name:MUSZKIEWICZ
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 1:1499 NE 30TH CT
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PK
Mailing Address - State:FL
Mailing Address - Zip Code:33334
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4546 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5204
Practice Address - Country:US
Practice Address - Phone:954-716-6514
Practice Address - Fax:754-223-2984
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW053881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical