Alecia Rager Lcsw Llc | |
1500 Colonial Blvd Ste 225 Fort Myers FL 33907-1026 | |
(239) 410-6221 | |
Not Available |
Full Name | Alecia Rager Lcsw Llc |
---|---|
Speciality | Social Worker |
Location | 1500 Colonial Blvd Ste 225, Fort Myers, Florida |
Authorized Official Name and Position | Alecia Rager (OWNER) |
Authorized Official Contact | 2394106221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alecia Rager Lcsw Llc 17301 Broadway Street #1004 Alva FL 33920 Ph: (239) 401-6221 | Alecia Rager Lcsw Llc 1500 Colonial Blvd Ste 225 Fort Myers FL 33907-1026 Ph: (239) 410-6221 |
NPI Number | 1982289120 |
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Provider Enumeration Date | 03/09/2021 |
Last Update Date | 03/09/2021 |
Certification Date | 02/18/2021 |
Medicare PECOS PAC ID | 6406263045 |
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Medicare Enrollment ID | O20210329000745 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982289120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Alecia F. Rager |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962900464 PECOS PAC ID: 5890086482 Enrollment ID: I20210329000971 |
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