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NPI Code Detail

MEDICARE: GABRIELLE ANN BUETTOW LCSW

MEDICARE: GABRIELLE ANN BUETTOW 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
1104100000XSocial WorkerSW7287FL

Other Identifiers

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

General Provider Information

NPI Number : 1255349106
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE ANN BUETTOW LCSW
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-0002
Fax Number :
Provider Business Practice Location Address
First Line : 1201 1ST ST S
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3904
Country : US
Telephone Number : 863-293-1121
Fax Number : 863-291-6084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 04/17/2026

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Directions to “ GABRIELLE ANN BUETTOW LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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