Carol Clendinen, LMHC, CAP, RN is a
Registered Nurse based in Eustis, Florida. Carol Clendinen is licensed to practice in Florida (license number RN 793372) and her current practice location is
115 E Citrus Ave, Eustis, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 357-1500.
NPI number for Carol Clendinen is 1063476265 and her current mailing address is 35618 Calla Ct, Leesburg, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063476265.
Healthcare Provider's Profile
| Full Name | Carol Clendinen |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 115 E Citrus Ave, Eustis, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063476265
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Carol Clendinen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063476265 | NPI | - | NPPES |
| Z090Q | Other | FL | BLUE CROSS BLUE SHIELD # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | CAP 311 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | MH 2625 (Florida) | Primary |
| 163W00000X | Registered Nurse | RN 793372 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carol Clendinen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carol Clendinen, LMHC, CAP, RN
35618 Calla Ct,
Leesburg, FL 34788-2306
Ph: (352) 357-1500 | Carol Clendinen, LMHC, CAP, RN
115 E Citrus Ave,
Eustis, FL 32726-4107
Ph: (352) 357-1500 |
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