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NPI Code Detail

MEDICARE: MRS. EMILY ABELEDO-ADAMS LCSW

MEDICARE: MRS. EMILY ABELEDO-ADAMS 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 WorkerNJ
21041C0700XClinical Social WorkerSW15652FL

General Provider Information

NPI Number : 1164709432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY ABELEDO-ADAMS LCSW
Provider Business Mailing Address
First Line : 6802 GRAND ESTUARY TRL UNIT 102
Second Line :
City : BRADENTON
State : FL
Zip : 34212-7218
Country : US
Telephone Number : 215-253-0042
Fax Number :
Provider Business Practice Location Address
First Line : 2033 WOOD ST STE 220
Second Line :
City : SARASOTA
State : FL
Zip : 34237-7927
Country : US
Telephone Number : 941-667-3366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2011
Last Update Date : 02/05/2019

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