Baldoni, Sandra Ellen
Baldoni, Sandra Ellen is an sole proprietor health care provider with primary practice located at 1175 Lucerne Dr , Mount Dora FL 32757. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baldoni, Sandra Ellen can be contacted via phone (352) 223-3394.Contact Information
Primary practice address
1175 Lucerne Dr
Mount Dora FL 32757
Phone: (352) 223-3394
Fax: (352) 385-0128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW5378 | Florida |
Profile Details
| NPI number | 1437246360 |
|---|---|
| LBN Legal business name | Baldoni, Sandra Ellen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | May 30th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437246360 | NPPES |
| Florida | MEDICAID | 002945000 |
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