MEDICARE: INNERVISION STUDIO, INC.

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

General Provider Information

NPI Number	:	1790736304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNERVISION STUDIO, INC.

Provider Business Mailing Address
First Line	:	7451 W MERCADA WAY
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3794
Country	:	US
Telephone Number	:	561-499-3601
Fax Number	:

Provider Business Practice Location Address
First Line	:	7451 W MERCADA WAY
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3794
Country	:	US
Telephone Number	:	561-499-3601
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER/PRESIDENT
Name	:	NANCY A FELDMAN-SAYLOR
Credential	:	LCSW
Telephone Number	:	561-499-3601

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/22/2020

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