Healthcare Provider Details

I. General information

NPI: 1750737417
Provider Name (Legal Business Name): MISS MARIA MEKETA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA LAPKINA LCSW

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 JONQUIL LN
WINTER PARK FL
32792-6220
US

IV. Provider business mailing address

3620 JONQUIL LN
WINTER PARK FL
32792-6220
US

V. Phone/Fax

Practice location:
  • Phone: 518-253-8571
  • Fax:
Mailing address:
  • Phone: 518-253-8571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC010158
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW13096
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: