Provider Demographics
NPI:1144199381
Name:ABREU, IRALDES JOSE (LCSW)
Entity type:Individual
Prefix:
First Name:IRALDES
Middle Name:JOSE
Last Name:ABREU
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3385 PINEWALK DR N APT 108
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7816
Mailing Address - Country:US
Mailing Address - Phone:561-843-5141
Mailing Address - Fax:
Practice Address - Street 1:3385 PINEWALK DR N APT 108
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-7816
Practice Address - Country:US
Practice Address - Phone:561-843-5141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW23153101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty