MEDICARE: LOTW CONSULTING, LLC.

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

General Provider Information

NPI Number	:	1831902931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTW CONSULTING, LLC.

Provider Business Mailing Address
First Line	:	1211 TECH BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 TECH BLVD STE 211
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7862
Country	:	US
Telephone Number	:	813-399-0427
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIONA WILSON
Credential	:	LCSW
Telephone Number	:	813-399-0427

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	01/31/2025

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Directions to “LOTW CONSULTING, LLC. ” Practice Location

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