MEDICARE: MRS. JODI ALLISON DRUSS 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
1	1041C0700X	Clinical Social Worker	076388-1	NY
2	1041C0700X	Clinical Social Worker	SW10619	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205161940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JODI ALLISON DRUSS LCSW

Provider Business Mailing Address
First Line	:	5012 35TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-2122
Country	:	US
Telephone Number	:	727-275-0997
Fax Number	:

Provider Business Practice Location Address
First Line	:	5012 35TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-2122
Country	:	US
Telephone Number	:	727-275-0997
Fax Number	:

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

Provider Enumeration Date	:	10/14/2009
Last Update Date	:	07/31/2024

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