| Anita Louise Lenas Lcsw Inc | |
|
5348 1st Ave N St Petersburg FL 33710-8106 | |
| (727) 322-6123 | |
| (727) 322-6143 |
| Full Name | Anita Louise Lenas Lcsw Inc |
|---|---|
| Speciality | Social Worker |
| Location | 5348 1st Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Anita Louise Lenas (OWNER PRESIDENT) |
| Authorized Official Contact | 7273226123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Louise Lenas Lcsw Inc Po Box 47918 St Petersburg FL 33743-7918 Ph: (727) 322-6123 | Anita Louise Lenas Lcsw Inc 5348 1st Ave N St Petersburg FL 33710-8106 Ph: (727) 322-6123 |
| NPI Number | 1437144805 |
|---|---|
| Provider Enumeration Date | 09/13/2005 |
| Last Update Date | 12/19/2008 |
| Medicare PECOS PAC ID | 4688738271 |
|---|---|
| Medicare Enrollment ID | O20090127000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437144805 | NPI | - | NPPES |
| FL1837 | Other | FL | BRADMAN NETWORK |
| Z031D | Other | FL | BLUE CROSS BLUE SHIELD |
| 216094 | Other | FL | COMPSYCH |
| 685126679 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW4402 (Florida) | Primary |
| Provider Name | Anita L Lenas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942499934 PECOS PAC ID: 2365506094 Enrollment ID: I20090126000208 |
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