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

Mr. Vincent Charles Licata III, LCSW

Individual provider Clinical Social Worker · NPI 1891020368

Mr. Vincent Charles Licata III, LCSW is a Clinical Social Worker in Fort Lauderdale, Florida. Qualified in 1998, 28 years ago. Practices with Henderson Behavioral Health, Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

330 SW 27th Ave
Fort Lauderdale, FL 33312-2051
Phone: (954) 791-4300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW7633 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence SW7633 (FL)

Record details

NPI number1891020368
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 16, 2009
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Henderson Behavioral Health, Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Lauderdale