Warrior Within | |
7231 Sandgrace Ln Lake Worth FL 33463-7273 | |
(561) 809-1906 | |
Not Available |
Full Name | Warrior Within |
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Speciality | Social Worker |
Location | 7231 Sandgrace Ln, Lake Worth, Florida |
Authorized Official Name and Position | Whitney Cherner (LCSW) |
Authorized Official Contact | 5618091906 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Warrior Within 7231 Sandgrace Ln Lake Worth FL 33463-7273 Ph: (561) 809-1906 | Warrior Within 7231 Sandgrace Ln Lake Worth FL 33463-7273 Ph: (561) 809-1906 |
NPI Number | 1154904407 |
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Provider Enumeration Date | 05/04/2021 |
Last Update Date | 07/20/2021 |
Certification Date | 07/20/2021 |
Medicare PECOS PAC ID | 8527455765 |
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Medicare Enrollment ID | O20220418002603 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154904407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jennifer M Bagwell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790994598 PECOS PAC ID: 6800140955 Enrollment ID: I20181108002440 |
Provider Name | Whitney Cherner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366939357 PECOS PAC ID: 5496185928 Enrollment ID: I20200423001161 |
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