DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHYLLIS LAVIGNA, LCSW

Active Sole Proprietor

PHYLLIS LAVIGNA, LCSW is a Clinical Social Worker healthcare provider located in SOUTH DAYTONA, Florida. NPI 1740547686 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SOUTH DAYTONA, FL

Registration Details

NPI Number
1740547686
Provider Type
Individual
Gender
Female
NPI Issued
Apr 17, 2012 (14.288913643397 yrs)
Last Updated
Mar 14, 2024
License
SW9461 (FL)
Sole Proprietor
Yes

Practice Information

Address
1635 S RIDGEWOOD AVE STE 225
SOUTH DAYTONA, FL, 321198478
Browse FL providers · Browse ZIP 32119
Phone
3867885021
Fax
3867885021
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SOUTH DAYTONA, FL

Name Credential NPI
GERALD STEPHEN KYER LICSW 1396766481
TINA GULLI 1174688931
MARK SMITH LCSW 1477703585
MRS. ELIZABETH ANN FERGUSON L.C.S.W. 1427476068
TIMOTHY REMMERT 1316335359
MS. JESSICA HEMESATH 1366980849
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.