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

Dedra McIntosh

Individual provider Clinical Social Worker · NPI 1174401830

Dedra McIntosh is a Clinical Social Worker in Coral Springs, Florida. Qualified in 2023, 3 years ago. Practices with Senior Living Memory Health Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

2833 NW 91st Ave Apt 104
Coral Springs, FL 33065-5066
Phone: (954) 955-6145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW25455 (FL)

Record details

NPI number1174401830
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Senior Living Memory Health Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coral Springs