MEDICARE: MS. BARBARA A. BLOCKER 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
1	1041C0700X	Clinical Social Worker	SW6854	FL
2	1041C0700X	Clinical Social Worker	67543	TX

General Provider Information

NPI Number	:	1043396138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA A. BLOCKER LCSW

Provider Business Mailing Address
First Line	:	10635 CARENA CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-6819
Country	:	US
Telephone Number	:	352-587-5830
Fax Number	:

Provider Business Practice Location Address
First Line	:	10635 CARENA CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-6819
Country	:	US
Telephone Number	:	352-587-5830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	05/26/2022

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