Etta F Ettlinger, LCSW | |
100 Executive Way, Suite #110, Ponte Vedra, FL 32082-4753 | |
(904) 273-4099 | |
(904) 273-4095 |
Full Name | Etta F Ettlinger |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 35 Years |
Location | 100 Executive Way, Ponte Vedra, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144207713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW6310 (Florida) | Primary |
Entity Name | Etta Ettlinger, Lcsw, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932384351 PECOS PAC ID: 4587624135 Enrollment ID: O20041018000704 |
Mailing Address | Practice Location Address |
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Etta F Ettlinger, LCSW 100 Executive Way, Suite #110, Ponte Vedra, FL 32082-4753 Ph: (904) 273-4099 | Etta F Ettlinger, LCSW 100 Executive Way, Suite #110, Ponte Vedra, FL 32082-4753 Ph: (904) 273-4099 |
Brittany Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98 Skylar Lane, Ponte Vedra, FL 32081 Phone: 251-490-4192 | |
Tierney Shaffer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Wayside Ln, Ponte Vedra, FL 32081 Phone: 303-241-1017 | |
Elizabeth A Milano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 579 Tree Side Ln, Ponte Vedra, FL 32081 Phone: 904-345-0548 | |
Mrs. Carmen C Whisler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 44 Weston Cir, Ponte Vedra, FL 32081 Phone: 904-339-5875 | |
Ms. Chandre Tranece Pryor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5150 Palm Valley Rd, Ponte Vedra, FL 32082 Phone: 904-746-3320 | |
Ms. Emily Mira Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 777 Rembrandt Ave, Ponte Vedra, FL 32081 Phone: 904-547-9915 |