Mrs Dawn Elaine Ellicott Clinkscale, LMFT is a
Social Worker - Clinical based in Lauderdale Lakes, Florida. Mrs Dawn Elaine Ellicott Clinkscale is licensed to practice in Florida (license number MT3549) and her current practice location is
4700 N State Road 7, Lauderdale Lakes, Florida. She can be reached at her office (for appointments etc.) via phone at
(954) 634-8096.
NPI number for Mrs Dawn Elaine Ellicott Clinkscale is 1629447966 and her current mailing address is 4740 N State Road 7, Lauderdale Lakes, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629447966.
Healthcare Provider's Profile
Full Name | Mrs Dawn Elaine Ellicott Clinkscale |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4700 N State Road 7, Lauderdale Lakes, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629447966
- Provider Enumeration Date: 09/16/2015
- Last Update Date: 04/08/2019
Medical Identifiers
Medical identifiers for Mrs Dawn Elaine Ellicott Clinkscale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629447966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MT3549 (Florida) | Secondary |
106H00000X | Marriage & Family Therapist | MFTMFT00221521 (Kentucky) | Secondary |
1041C0700X | Social Worker - Clinical | MT3549 (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. Mrs Dawn Elaine Ellicott Clinkscale 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 |
Mrs Dawn Elaine Ellicott Clinkscale, LMFT 4740 N State Road 7, Lauderdale Lakes, FL 33319-5839 Ph: (954) 486-4005 | Mrs Dawn Elaine Ellicott Clinkscale, LMFT 4700 N State Road 7, Lauderdale Lakes, FL 33319-5800 Ph: (954) 634-8096 |
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