| Dr. Selena Lamotte, Dsw | |
|
10568 Longleaf Ln Wellington FL 33414 | |
| (561) 469-9670 | |
| (561) 634-3861 |
| Full Name | Dr. Selena Lamotte, Dsw |
|---|---|
| Speciality | Social Worker |
| Location | 10568 Longleaf Ln, Wellington, Florida |
| Authorized Official Name and Position | Selena A Lamotte (OWNER) |
| Authorized Official Contact | 5614699670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Selena Lamotte, Dsw 10568 Longleaf Ln Wellington FL 33414-9398 Ph: (561) 469-9670 | Dr. Selena Lamotte, Dsw 10568 Longleaf Ln Wellington FL 33414 Ph: (561) 469-9670 |
| NPI Number | 1710223458 |
|---|---|
| Provider Enumeration Date | 12/28/2012 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 3274772843 |
|---|---|
| Medicare Enrollment ID | O20130612000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710223458 | NPI | - | NPPES |
| 007968500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11099 (Florida) | Primary |
| Provider Name | Selena A Lamotte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184968067 PECOS PAC ID: 5991944464 Enrollment ID: I20130612000527 |
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