| Bethanie S Wooten Ms Lcsw Pa | |
|
27915 Arrowhead Cir Punta Gorda FL 33982-4809 | |
| (469) 475-1650 | |
| Not Available |
| Full Name | Bethanie S Wooten Ms Lcsw Pa |
|---|---|
| Speciality | Social Worker |
| Location | 27915 Arrowhead Cir, Punta Gorda, Florida |
| Authorized Official Name and Position | Bethanie Wooten (PRESIDENT) |
| Authorized Official Contact | 4694751650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethanie S Wooten Ms Lcsw Pa 27915 Arrowhead Cir Punta Gorda FL 33982-4809 Ph: (469) 475-1650 | Bethanie S Wooten Ms Lcsw Pa 27915 Arrowhead Cir Punta Gorda FL 33982-4809 Ph: (469) 475-1650 |
| NPI Number | 1568168730 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Medicare PECOS PAC ID | 1759754765 |
|---|---|
| Medicare Enrollment ID | O20230222000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568168730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bethanie Wooten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023441615 PECOS PAC ID: 6103051321 Enrollment ID: I20190530000716 |
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