Healthcare Provider Details

I. General information

NPI: 1831546100
Provider Name (Legal Business Name): MICHELE V. NOBERINI, LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5327 COMMERCIAL WAY STE C115
SPRING HILL FL
34606-1420
US

IV. Provider business mailing address

5327 COMMERCIAL WAY STE C115
SPRING HILL FL
34606-1420
US

V. Phone/Fax

Practice location:
  • Phone: 352-346-3662
  • Fax:
Mailing address:
  • Phone: 352-346-3662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW9026
License Number StateFL

VIII. Authorized Official

Name: MS. MICHELE V NOBERINI
Title or Position: OWNER
Credential: LCSW
Phone: 352-346-3662