Teresa Ellsworth in Fleming Island - Clinical
Teresa Ellsworth - NPI 1366650954
Teresa Ellsworth is a Clinical in Fleming Island, Florida. Teresa Ellsworth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Teresa Ellsworth is 1366650954. The last update date is 2016-09-30.
Teresa Ellsworth's current location address is 2219 Harbor Lake Dr, Fleming Island, Florida. You can contact this provider via phone number 7346733075. The mailing address for Teresa Ellsworth is 2219 Harbor Lake Dr, Fleming Island, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Ellsworth |
|---|---|
| Address | 2219 Harbor Lake Dr, Fleming Island, Florida |
| Phone Number | 7346733075 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1366650954 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2016-09-30 |
Provider Mailing Address Detail
| Address | 2219 Harbor Lake Dr |
|---|---|
| City | Fleming Island |
| State | Florida (FL) |
| Post Code | 320037796 |
| Phone Number | 7346733075 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801066406 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Post Comment/ Review Below
What is the Teresa Ellsworth's 1366650954?
The Teresa Ellsworth's NPI (National Provider Identifier) Number is 1366650954. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Teresa Ellsworth is physically located?
The Teresa Ellsworth is situated at the following address: 2219 Harbor Lake Dr, Fleming Island, FL 320037796.
What is Teresa Ellsworth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Teresa Ellsworth is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366650954 to Teresa Ellsworth?
The Centers for Medicare & Medicaid Services originally issued the 1366650954 to Teresa Ellsworth on 2007-05-18.
When was the information regarding Teresa Ellsworth most recently updated?
The details pertaining to the Teresa Ellsworth, including its address, specialty, and other relevant information, were last refreshed on 2016-09-30.