Unknown Individual – Clinical Social Worker, NPI 1417904533
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
757 Crave Downtown, 142, West York Street, Norfolk, Virginia, 23510, United States
SUITE 402
NORFOLK, VA 235102015
Phone: (757) 466-0946
Fax: (757) 466-0947
Type: Location
11055 SPARKLE BERRY DRIVE
FORT MYERS, FL 33913
Phone: (757) 466-0946
Fax: (757) 466-0947
Type: Mailing
11055 SPARKLEBERRY DR
FORT MYERS, FL 339138865
Phone: (757) 237-5191
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 23510)
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