Unknown Individual – Clinical Social Worker, NPI 1407872203
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1464 CREEKS EDGE CT
ORANGE PARK, FL 320037411
Phone: (904) 541-0577
Fax: (904) 829-3398
Type: Mailing
South Dixie Highway, West Augustine, Saint Augustine, Saint Johns County, Florida, 32084, United States
C/O VA HBPC, SUITE 200
ST AUGUSTINE, FL 320863708
Phone: (904) 829-8954
Fax: (904) 829-3398
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 32003)
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