| Doni Greenblatt Lcsw Inc. | |
|
22310 Guadeloupe St Boca Raton FL 33433-4939 | |
| (305) 332-9805 | |
| (561) 245-4742 |
| Full Name | Doni Greenblatt Lcsw Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 22310 Guadeloupe St, Boca Raton, Florida |
| Authorized Official Name and Position | Doni Greenblatt (CEO) |
| Authorized Official Contact | 3053329805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doni Greenblatt Lcsw Inc. 22310 Guadeloupe St Boca Raton FL 33433-4939 Ph: (305) 332-9805 | Doni Greenblatt Lcsw Inc. 22310 Guadeloupe St Boca Raton FL 33433-4939 Ph: (305) 332-9805 |
| NPI Number | 1447545918 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Medicare PECOS PAC ID | 3971771171 |
|---|---|
| Medicare Enrollment ID | O20110713000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447545918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9091 (Florida) | Primary |
| Provider Name | Doni Greenblatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437460672 PECOS PAC ID: 0547454399 Enrollment ID: I20101105000166 |
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