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NPI Code Detail

MEDICARE: MELISSA QUINN TEFERRA LCSW

MEDICARE: MELISSA QUINN TEFERRA 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 WorkerSW11430FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740588896
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA QUINN TEFERRA LCSW
Provider Business Mailing Address
First Line : 10524 MELODY MEADOWS RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-1317
Country : US
Telephone Number : 904-654-6678
Fax Number :
Provider Business Practice Location Address
First Line : 4651 SALISBURY RD STE 400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6187
Country : US
Telephone Number : 904-654-6678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2011
Last Update Date : 02/28/2025

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Directions to “ MELISSA QUINN TEFERRA LCSW” Practice Location

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