| Joene Sussex Lcsw Pl | |
|
37423 Laurel Hammock Dr Zephyrhills FL 33541-4253 | |
| (863) 701-7373 | |
| (813) 200-1403 |
| Full Name | Joene Sussex Lcsw Pl |
|---|---|
| Speciality | Social Worker |
| Location | 37423 Laurel Hammock Dr, Zephyrhills, Florida |
| Authorized Official Name and Position | Joene Sussex (OWNER) |
| Authorized Official Contact | 8637017373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joene Sussex Lcsw Pl 4142 Mariner Blvd Ste 121 Spring Hill FL 34609-2468 Ph: (813) 927-5149 | Joene Sussex Lcsw Pl 37423 Laurel Hammock Dr Zephyrhills FL 33541-4253 Ph: (863) 701-7373 |
| NPI Number | 1578378980 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 4981129921 |
|---|---|
| Medicare Enrollment ID | O20250422003053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578378980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joene G Sussex |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508166067 PECOS PAC ID: 8224209168 Enrollment ID: I20110926000227 |
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