Etta F. Ettlinger in Ponte Vedra - Clinical
Etta F. Ettlinger - NPI 1144207713
Etta F. Ettlinger is a Clinical in Ponte Vedra, Florida. Etta F. Ettlinger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Etta F. Ettlinger is 1144207713. The last update date is 2007-07-09.
Etta F. Ettlinger's current location address is 100 Executive Way, Ponte Vedra, Florida. You can contact this provider via phone number 9042734099 and fax number 9042734095. The mailing address for Etta F. Ettlinger is 100 Executive Way, Ponte Vedra, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Etta F. Ettlinger |
|---|---|
| Address | 100 Executive Way, Ponte Vedra, Florida |
| Phone Number | 9042734099 |
| Fax Number | 9042734095 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1144207713 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 100 Executive Way |
|---|---|
| City | Ponte Vedra |
| State | Florida (FL) |
| Post Code | 320824753 |
| Phone Number | 9042734099 |
| Fax Number | 9042734095 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW6310 |
|
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 unique identifier code issued to Etta F. Ettlinger by the Centers for Medicare & Medicaid Services?
The Etta F. Ettlinger has been assigned the NPI (National Provider Identifier) 1144207713. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Etta F. Ettlinger located?
The Etta F. Ettlinger is located at 100 Executive Way, Ponte Vedra, FL 320824753.
What is Etta F. Ettlinger's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Etta F. Ettlinger is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144207713 to Etta F. Ettlinger?
The Etta F. Ettlinger received its 1144207713 assignment from the Centers for Medicare & Medicaid Services on 2005-12-27.
When was the information pertaining to Etta F. Ettlinger most recently updated or revised?
The details related to Etta F. Ettlinger, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN