| Social Work Supervision, Inc | |
|
1107 Magrath Way The Villages FL 32162-4035 | |
| (770) 313-7768 | |
| Not Available |
| Full Name | Social Work Supervision, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1107 Magrath Way, The Villages, Florida |
| Authorized Official Name and Position | Melissa Ann Lester (OWNER) |
| Authorized Official Contact | 7703137768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Work Supervision, Inc 1107 Magrath Way The Villages FL 32162-4035 Ph: (770) 313-7768 | Social Work Supervision, Inc 1107 Magrath Way The Villages FL 32162-4035 Ph: (770) 313-7768 |
| NPI Number | 1033475942 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 12/21/2025 |
| Certification Date | 12/21/2025 |
| Medicare PECOS PAC ID | 4284885021 |
|---|---|
| Medicare Enrollment ID | O20121105000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033475942 | NPI | - | NPPES |
| 1508929241 | Other | GA | PERSONAL NPI 1508929241 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003082 (Georgia) | Primary |
| Provider Name | Melissa A Lester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508929241 PECOS PAC ID: 7810148657 Enrollment ID: I20121105000016 |
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