| Laura Nessola, Msw, Lcsw, Llc | |
|
155 Douglas St Ste A Homosassa FL 34446-3854 | |
| (352) 345-9948 | |
| Not Available |
| Full Name | Laura Nessola, Msw, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 155 Douglas St Ste A, Homosassa, Florida |
| Authorized Official Name and Position | Laura Elaine Nessola (SOLE MEMBER) |
| Authorized Official Contact | 3523459948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Nessola, Msw, Lcsw, Llc 10362 S Mcclung Loop Homosassa FL 34448-5553 Ph: (352) 345-9948 | Laura Nessola, Msw, Lcsw, Llc 155 Douglas St Ste A Homosassa FL 34446-3854 Ph: (352) 345-9948 |
| NPI Number | 1821565003 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 03/07/2019 |
| Medicare PECOS PAC ID | 7810237104 |
|---|---|
| Medicare Enrollment ID | O20190325000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821565003 | NPI | - | NPPES |
| 020963000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura Elaine Nessola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194172643 PECOS PAC ID: 3274803176 Enrollment ID: I20170726001504 |
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