Michael H Lake is a Social Worker in Melbourne, Florida. Michael H Lake practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Michael H Lake is 1265596035. The last update date is 2018-09-25.
Michael H Lake's current location address is 4450 Eau Gallie Blvd, Melbourne, Florida. You can contact this provider via phone number 3217262860 and fax number 3217523143. The mailing address for Michael H Lake is 4450 Eau Gallie Blvd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael H Lake |
|---|---|
| Address | 4450 Eau Gallie Blvd, Melbourne, Florida |
| Phone Number | 3217262860 |
| Fax Number | 3217523143 |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1265596035 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2018-09-25 |
Provider Mailing Address Detail
| Address | 4450 Eau Gallie Blvd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329347214 |
| Phone Number | 3217262860 |
| Fax Number | 3217523143 |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16517700 | FL | -- | |
| 761700 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael H Lake by the Centers for Medicare & Medicaid Services?
The Michael H Lake has been assigned the NPI (National Provider Identifier) 1265596035. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael H Lake is physically located?
The Michael H Lake is situated at the following address: 4450 Eau Gallie Blvd, Melbourne, FL 329347214.
What is the Michael H Lake's specialty and taxonomy code?
The Michael H Lake's specialty is Social Worker, and the corresponding taxonomy code is 104100000X.
When did the Michael H Lake receive its 1265596035?
The Michael H Lake was issued its 1265596035 on 2006-12-19, which is the date when the organization was assigned this unique identifier.
As of what date were the Michael H Lake's details last updated?
The information pertaining to the Michael H Lake, including its address, specialty, and other details, was most recently updated on 2018-09-25.
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