| Nancy Maccoll, L.c.s.w., Llc | |
|
1400 E Oakland Park Blvd 100 Oakland Park FL 33334-4400 | |
| (954) 226-9585 | |
| Not Available |
| Full Name | Nancy Maccoll, L.c.s.w., Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1400 E Oakland Park Blvd, Oakland Park, Florida |
| Authorized Official Name and Position | Nancy Maccoll (OWNER/PRESIDENT) |
| Authorized Official Contact | 9542269585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Maccoll, L.c.s.w., Llc 3821 Environ Blvd Lauderhill FL 33319-4280 Ph: (954) 226-9585 | Nancy Maccoll, L.c.s.w., Llc 1400 E Oakland Park Blvd 100 Oakland Park FL 33334-4400 Ph: (954) 226-9585 |
| NPI Number | 1245624089 |
|---|---|
| Provider Enumeration Date | 03/18/2015 |
| Last Update Date | 04/16/2015 |
| Medicare PECOS PAC ID | 1456664184 |
|---|---|
| Medicare Enrollment ID | O20150723007855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245624089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11011 (Florida) | Primary |
| Provider Name | Nancy M Maccoll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689869752 PECOS PAC ID: 9739492448 Enrollment ID: I20150723007472 |
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