Provider Demographics
NPI:1679798235
Name:GEORGES, DAGOBERT JOSEPH (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAGOBERT
Middle Name:JOSEPH
Last Name:GEORGES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 N WARE DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3857
Mailing Address - Country:US
Mailing Address - Phone:561-847-5970
Mailing Address - Fax:
Practice Address - Street 1:237 N WARE DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3857
Practice Address - Country:US
Practice Address - Phone:561-478-1125
Practice Address - Fax:561-471-3973
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL99871041C0700X
FLSW99871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical