| Etta Ettlinger, Lcsw, Pa | |
|
100 Executive Way Ste 110 Ponte Vedra FL 32082-4753 | |
| (904) 273-4099 | |
| (904) 273-4095 |
| Full Name | Etta Ettlinger, Lcsw, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 100 Executive Way Ste 110, Ponte Vedra, Florida |
| Authorized Official Name and Position | Etta F. Ettlinger (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9042734099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Etta Ettlinger, Lcsw, Pa 100 Executive Way Ste 110 Ponte Vedra FL 32082-4753 Ph: (904) 273-4099 | Etta Ettlinger, Lcsw, Pa 100 Executive Way Ste 110 Ponte Vedra FL 32082-4753 Ph: (904) 273-4099 |
| NPI Number | 1932384351 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/03/2008 |
| Medicare PECOS PAC ID | 4587624135 |
|---|---|
| Medicare Enrollment ID | O20041018000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932384351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6310 (Florida) | Primary |
| Provider Name | Etta F Ettlinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144207713 PECOS PAC ID: 6204896863 Enrollment ID: I20041021000229 |
Ellie Mental Health Ponte Vedra Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1102 A1a N Ste 203, Ponte Vedra, FL 32082 Phone: 904-903-6375 | |
Integrated Health Clinical Counseling P.l.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Fort Wade Rd Ste 100, Ponte Vedra, FL 32081 Phone: 734-720-9782 Fax: 734-571-6888 | |
Anchors Aweigh Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 574 Outlook Dr, Ponte Vedra, FL 32081 Phone: 757-572-1949 | |
Ponte Vedra Neuropsychology Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4210 Valley Ridge Blvd Ste 113, Ponte Vedra, FL 32081 Phone: 904-303-8362 | |
Jax Psychiatry Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Hilden Rd Ste 108, Ponte Vedra, FL 32081 Phone: 904-834-1242 | |
Nocal Behavioral Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Whistler Trce, Ponte Vedra, FL 32081 Phone: 603-315-1905 | |
Anxiety Treatment Of Florida Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Lone Eagle Way, Ponte Vedra, FL 32081 Phone: 904-930-7670 |