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NPI Code Detail

MEDICARE: WENDY HELLICKSON LCSW

MEDICARE:   WENDY  HELLICKSON  LCSW
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
11041C0700XClinical Social Worker1423FL

General Provider Information

NPI Number : 1033144480
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY HELLICKSON LCSW
Provider Business Mailing Address
First Line : 1519 N RIVERHILLS DR
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-3841
Country : US
Telephone Number : 813-979-3559
Fax Number :
Provider Business Practice Location Address
First Line : 10770 N 46TH ST
Second Line : SUITE A-400
City : TAMPA
State : FL
Zip : 33617-3442
Country : US
Telephone Number : 813-979-3559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

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Directions to “ WENDY HELLICKSON LCSW” Practice Location

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