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

Patrice Lauretta Innis, BSW

Individual provider Social Worker · NPI 1699099960

Patrice Lauretta Innis, BSW is a Social Worker in Coconut Creek, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
Specialties on file
2

Practice location Address checks out

4931 NW 53rd Ave
Coconut Creek, FL 33073-3327
Phone: (954) 736-9888
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 SW15101 (FL)
Social Worker Taxonomy 104100000X

Record details

NPI number1699099960
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSW
Sole proprietorYes
NPI enumeratedMarch 16, 2010
Last updated in NPPESMay 7, 2019

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