Healthcare Provider Details

I. General information

NPI: 1033580816
Provider Name (Legal Business Name): ANNETTE L BECKLUND, MSW, LCSW & ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 10/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11027 SPRING HILL DR
SPRING HILL FL
34608-5049
US

IV. Provider business mailing address

PO BOX 3870
SPRING HILL FL
34611
US

V. Phone/Fax

Practice location:
  • Phone: 727-859-7316
  • Fax: 732-782-0345
Mailing address:
  • Phone: 727-859-7316
  • Fax: 732-782-0345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW11502
License Number StateFL

VIII. Authorized Official

Name: ANNETTE L BECKLUND
Title or Position: DIRECTOR/OWNER
Credential: MSW, LCSW, NBCCH
Phone: 727-859-7316