Iva Maylene Hallsted Clearwater, LCSW is a
Social Worker - Clinical based in Ft Pierce, Florida. Iva Maylene Hallsted Clearwater is licensed to practice in Florida (license number SW4959) and her current practice location is
4500 W Midway Rd, New Horizons Of The Treasure Coast Inc, Ft Pierce, Florida. She can be reached at her office (for appointments etc.) via phone at
(772) 672-5600.
NPI number for Iva Maylene Hallsted Clearwater is 1952419749 and her current mailing address is 4500 W Midway Rd, New Horizons Of The Treasure Coast Inc, Ft Pierce, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952419749.
Healthcare Provider's Profile
| Full Name | Iva Maylene Hallsted Clearwater |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4500 W Midway Rd, Ft Pierce, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952419749
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 09/25/2013
Medical Identifiers
Medical identifiers for Iva Maylene Hallsted Clearwater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952419749 | NPI | - | NPPES |
| 2027492 | Other | FL | CIGNA |
| 238116 | Other | FL | MHN MANAGED CARE ORG |
| 28762 | Other | FL | BCBS BLUE CROSS BLUE SHIE |
| 763665200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1803 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW4959 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iva Maylene Hallsted Clearwater is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Iva Maylene Hallsted Clearwater, LCSW
4500 W Midway Rd, New Horizons Of The Treasure Coast Inc,
Ft Pierce, FL 34981
Ph: (772) 672-5600 | Iva Maylene Hallsted Clearwater, LCSW
4500 W Midway Rd, New Horizons Of The Treasure Coast Inc,
Ft Pierce, FL 34981
Ph: (772) 672-5600 |
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