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NPI Code Detail

MEDICARE: LUTCHARDE DARIUS-MESILIEN LCSW

MEDICARE: LUTCHARDE DARIUS-MESILIEN 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 WorkerSW9969FL
2101YM0800XMental Health CounselorSW9969FL

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 : 1902257538
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUTCHARDE DARIUS-MESILIEN LCSW
Provider Business Mailing Address
First Line : 13350 W COLONIAL DR STE 340
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3977
Country : US
Telephone Number : 407-654-4433
Fax Number :
Provider Business Practice Location Address
First Line : 13350 W COLONIAL DR STE 340
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3977
Country : US
Telephone Number : 954-673-1746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2016
Last Update Date : 04/22/2026

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1295485449 — MISS JENNIFER ROSE GRILLO LCSW
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1417290990 — ELIZABETH SHINGLETON OLSON LCSW
Practice Location Address:
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Practice Fax: 407-926-0209

Directions to “ LUTCHARDE DARIUS-MESILIEN 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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