| Mary Meaders Gerber, Lcsw, Inc. | |
|
50 Leanni Way Ste B-3 Palm Coast FL 32137 | |
| (386) 589-1736 | |
| Not Available |
| Full Name | Mary Meaders Gerber, Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 50 Leanni Way, Palm Coast, Florida |
| Authorized Official Name and Position | Mary Meaders Gerber (DIRECTOR) |
| Authorized Official Contact | 3865891736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Meaders Gerber, Lcsw, Inc. 50 Leanni Way Ste B-3 Palm Coast FL 32137 Ph: (386) 589-1736 | Mary Meaders Gerber, Lcsw, Inc. 50 Leanni Way Ste B-3 Palm Coast FL 32137 Ph: (386) 589-1736 |
| NPI Number | 1295241289 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 12/28/2017 |
| Medicare PECOS PAC ID | 2769747419 |
|---|---|
| Medicare Enrollment ID | O20180530000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295241289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11412 (Florida) | Primary |
| Provider Name | Mary Meaders Gerber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427487032 PECOS PAC ID: 6002047925 Enrollment ID: I20140318000979 |
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