MEDICARE: NANCY ALLA CHASE 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	LICSW125811	MA
2	1041C0700X	Clinical Social Worker	SW3511	FL

General Provider Information

NPI Number	:	1326986894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY ALLA CHASE LCSW

Provider Business Mailing Address
First Line	:	9612 LONG MEADOW DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1236
Country	:	US
Telephone Number	:	813-618-1061
Fax Number	:

Provider Business Practice Location Address
First Line	:	9612 LONG MEADOW DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1236
Country	:	US
Telephone Number	:	813-618-1061
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	06/17/2026

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Directions to “ NANCY ALLA CHASE LCSW” Practice Location

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