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NPI Code Detail

MEDICARE: ZOE REDDICK LCSW

MEDICARE: ZOE REDDICK 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 WorkerSW25450FL

General Provider Information

NPI Number : 1922675222
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE REDDICK LCSW
Provider Business Mailing Address
First Line : 3049 CLEVELAND AVE STE 290
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-7054
Country : US
Telephone Number : 239-689-4745
Fax Number :
Provider Business Practice Location Address
First Line : 3049 CLEVELAND AVE STE 290
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-7054
Country : US
Telephone Number : 239-689-4745
Fax Number : 239-689-5179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 03/13/2026

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Directions to “ ZOE REDDICK LCSW” Practice Location

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