Ellen R Bachmeyer Lcsw Llc | |
270 Campbell Ave The Villages FL 32162-5389 | |
(352) 209-6211 | |
(407) 217-6632 |
Full Name | Ellen R Bachmeyer Lcsw Llc |
---|---|
Speciality | Social Worker |
Location | 270 Campbell Ave, The Villages, Florida |
Authorized Official Name and Position | Ellen R Bachmeyer (OWNER) |
Authorized Official Contact | 3522096211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ellen R Bachmeyer Lcsw Llc Po Box 770575 Winter Garden FL 34777-0575 Ph: (352) 209-6211 | Ellen R Bachmeyer Lcsw Llc 270 Campbell Ave The Villages FL 32162-5389 Ph: (352) 209-6211 |
NPI Number | 1437467479 |
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Provider Enumeration Date | 09/23/2010 |
Last Update Date | 07/09/2015 |
Medicare PECOS PAC ID | 9032302518 |
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Medicare Enrollment ID | O20101015000823 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437467479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW3292 (Florida) | Primary |
Provider Name | Ellen R. Bachmeyer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962600668 PECOS PAC ID: 6709962012 Enrollment ID: I20080327000277 |
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