MEDICARE: MS. BRITT BLAKEY MSW, RCSWI

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	171M00000X	Case Manager/Care Coordinator		FL
2	1041C0700X	Clinical Social Worker	ISW19447	FL

General Provider Information

NPI Number	:	1023450277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRITT BLAKEY MSW, RCSWI

Provider Business Mailing Address
First Line	:	911 N ORANGE AVE APT 527
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-1072
Country	:	US
Telephone Number	:	407-271-9775
Fax Number	:

Provider Business Practice Location Address
First Line	:	4776 NEW BROAD ST STE 201
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6423
Country	:	US
Telephone Number	:	833-769-3524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2013
Last Update Date	:	10/05/2023

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