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NPI Code Detail

MEDICARE: MS. HEIDI A ISON LCSW

MEDICARE: MS. HEIDI A ISON 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 Worker9771FL
21041C0700XClinical Social WorkerSW9771FL

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 : 1558687665
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEIDI A ISON LCSW
Provider Business Mailing Address
First Line : 2005 PAN AM CIR STE 120
Second Line :
City : TAMPA
State : FL
Zip : 33607-2529
Country : US
Telephone Number : 813-602-2312
Fax Number : 813-302-1173
Provider Business Practice Location Address
First Line : 302 W FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-3415
Country : US
Telephone Number : 813-597-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2010
Last Update Date : 09/04/2024

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Directions to “ MS. HEIDI A ISON LCSW” Practice Location

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