Provider Demographics
NPI:1164214169
Name:PAGE-SARFATI, JUDITH (MSW)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:PAGE-SARFATI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:PAGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2250 BETHEL BLVD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-3140
Mailing Address - Country:US
Mailing Address - Phone:561-245-0247
Mailing Address - Fax:
Practice Address - Street 1:2250 BETHEL BLVD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-3140
Practice Address - Country:US
Practice Address - Phone:561-245-0247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW20746104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker