Unknown Individual – Clinical Social Worker, NPI 1073547139
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
200, North Peninsula Avenue, Minorca, Coronado Beach, New Smyrna Beach, Volusia County, Florida, 32169, United States
NEW SMYRNA BEACH, FL 321692544
Phone: (386) 426-5060
Fax: (386) 428-1842
Type: Mailing
1, Fairgreen Avenue, New Smyrna Beach, Volusia County, Florida, 32168, United States
NEW SMYRNA BEACH, FL 321686112
Phone: (386) 426-5060
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32169)
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