Ralicki, Jeanne Prescott
Ralicki, Jeanne Prescott is an sole proprietor health care provider with primary practice located at 1541 Se Palm Ct , Stuart FL 34994-4914. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ralicki, Jeanne Prescott can be contacted via phone (772) 220-1629.Contact Information
Primary practice address
1541 Se Palm Ct
Stuart FL 34994-4914
Phone: (772) 220-1629
Fax: (772) 221-4509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW2624 | Florida |
Profile Details
| NPI number | 1104982123 |
|---|---|
| LBN Legal business name | Ralicki, Jeanne Prescott |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1104982123 | NPPES |
| Florida | Other | Z3457 | BC-BS OF FL |
| Florida | Other | 11403842 | BC-BS OF FL |
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