DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LILLIAM BLUNDELL LCSW

MEDICARE: LILLIAM BLUNDELL 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 WorkerSW14300FL

General Provider Information

NPI Number : 1376055988
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAM BLUNDELL LCSW
Provider Business Mailing Address
First Line : 15159 OXFORD CV APT 2501
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-3914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 390 PONDELLA RD STE 9
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-4340
Country : US
Telephone Number : 239-652-0260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2017
Last Update Date : 11/05/2017

Similar Medicare Providers

1639309024 — MS. DIANA MONROE LCSW
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax: 239-652-0146
1518268291 — MRS. JENNIE LYNN BEUER LCSW, MSW, RPT
Practice Location Address:
390 PONDELLA RD , SUITE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax: 239-652-0146
1962900464 — ALECIA RAGER MSW
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax: 239-652-0146
1780170258 — MRS. MARIE FRANCE LECLERC MSW
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax: 239-652-0146
1003399676 — MISS MIREILLE TAIME MSW LCSW
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 239-652-0260
Practice Fax:
1053970194 — ULTIMA REHAB-FL LLC
Practice Location Address:
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL
33903-4340
Practice Phone: 609-509-2388
Practice Fax:

Directions to “ LILLIAM BLUNDELL 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.