Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corazan Aquino Ennis

Individual provider Clinical Social Worker · NPI 1225715840

Corazan Aquino Ennis is a Clinical Social Worker in Lauderhill, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

4100 Inverrary Dr
Lauderhill, FL 33319-4510
Phone: (616) 856-0636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW21721 (FL)

Record details

NPI number1225715840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESApril 28, 2024
Certification dateApril 28, 2024

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