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NPI Code Detail

MEDICARE: ANDREA GREENLEE LCSW

MEDICARE:   ANDREA  GREENLEE  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW6023FL

Other Identifiers

General Provider Information

NPI Number : 1033257209
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA GREENLEE LCSW
Provider Business Mailing Address
First Line : 900 SE OCEAN BLVD STE 340E
Second Line :
City : STUART
State : FL
Zip : 34994-3502
Country : US
Telephone Number : 772-220-3439
Fax Number : 772-220-3484
Provider Business Practice Location Address
First Line : 900 SE OCEAN BLVD STE 340E
Second Line :
City : STUART
State : FL
Zip : 34994-3502
Country : US
Telephone Number : 772-220-3439
Fax Number : 772-220-3484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 02/26/2024

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Directions to “ ANDREA GREENLEE LCSW” Practice Location

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