Moffat Mcgarry, Nacole A

Moffat Mcgarry, Nacole A is an individual health care provider with primary practice located at 9461 Brandywine Ln , Port St Lucie FL 34986-3307. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moffat Mcgarry, Nacole A can be contacted via phone (772) 429-3600.

Contact Information

Primary practice address
9461 Brandywine Ln Port St Lucie FL 34986-3307
Fax: (772) 429-4589
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7212 Florida

Profile Details

NPI number 1437251212
LBN Legal business name Moffat Mcgarry, Nacole A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Feb 8th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437251212 NPPES
Florida MEDICAID 766498200

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