Basic Information
Provider Information
NPI: 1316061625
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CANE
FirstName: JUNE
MiddleName: SCHECHTER
NamePrefix: MRS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SCHECHTER
OtherFirstName: JUNE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: LCSW
OtherLastNameType: 2
Mailing Information
Address1: 16341 VIA VENETIA E
Address2:  
City: DELRAY BEACH
State: FL
PostalCode: 334846489
CountryCode: US
TelephoneNumber: 5618659485
FaxNumber: 5618659468
Practice Location
Address1: 5057 S CONGRESS AVE
Address2: SUITE 402
City: LAKE WORTH
State: FL
PostalCode: 334614723
CountryCode: US
TelephoneNumber: 5619682727
FaxNumber: 5616414644
Other Information
ProviderEnumerationDate: 03/19/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XSW4754FLY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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