| Audrey Wentworth & Associates P.a. | |
|
2650 Bahia Vista St Suite 208 Sarasota FL 34239-2635 | |
| (941) 316-0390 | |
| (941) 951-2658 |
| Full Name | Audrey Wentworth & Associates P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 2650 Bahia Vista St, Sarasota, Florida |
| Authorized Official Name and Position | Audrey Wentworth (PRESIDENT) |
| Authorized Official Contact | 9413160390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Wentworth & Associates P.a. 2650 Bahia Vista St Suite 208 Sarasota FL 34239-2635 Ph: (941) 316-0390 | Audrey Wentworth & Associates P.a. 2650 Bahia Vista St Suite 208 Sarasota FL 34239-2635 Ph: (941) 316-0390 |
| NPI Number | 1871816769 |
|---|---|
| Provider Enumeration Date | 03/05/2010 |
| Last Update Date | 10/15/2013 |
| Medicare PECOS PAC ID | 2466496831 |
|---|---|
| Medicare Enrollment ID | O20050616000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871816769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW1569 (Florida) | Primary |
| Provider Name | Audrey E Wentworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922246453 PECOS PAC ID: 9739130048 Enrollment ID: I20050203000652 |
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