MEDICARE: ANNETTE L BECKLUND 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	44SC05214000	NJ

General Provider Information

NPI Number	:	1588768287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE L BECKLUND LCSW

Provider Business Mailing Address
First Line	:	PO BOX 3870
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34611-3870
Country	:	US
Telephone Number	:	727-859-7316
Fax Number	:	732-782-0345

Provider Business Practice Location Address
First Line	:	18002 KINGS PARK DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2872
Country	:	US
Telephone Number	:	727-859-7316
Fax Number	:	732-782-0345

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	04/24/2026

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