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

Individual provider Clinical Social Worker · NPI 1861261315

Nicole Michelle Rebustillo Puig, LCSW is a Clinical Social Worker in Sunrise, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11740 NW 39th Pl
Sunrise, FL 33323-3626
Phone: (786) 518-8830
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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

Record details

NPI number1861261315
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 26, 2023
Last updated in NPPESDecember 26, 2023
Certification dateDecember 26, 2023

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