Adaska Therapy and Wellness LLC
Organization Active NPI Clinical Social Worker · Riverview, FL
NPI 1023701679 · NPPES record last updated Aug 6, 2023
Key facts
- NPI
- 1023701679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ADASKA THERAPY AND WELLNESS LLC
- Practice address
- 11525 Sunburst Marble Rd
Riverview, FL 33579-2119 - Phone
- (813) 252-0978
- NPI assigned
- May 31, 2023
- Organization subpart
- No
Authorized official
- Name
- Laura Delaney, LCSW
- Title
- Owner
- Phone
- (813) 252-0978
Practitioners 1
-
Laura Michelle Delaney, LCSW-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230728002998 | FL | Part B Supplier - Clinic/Group Practice | 5395106991 |
Receives reassigned benefits from 1 practitioner Practice locations: Riverview, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
11525 Sunburst Marble Rd
Riverview, FL 33579-2119
Mailing address
11525 Sunburst Marble Rd
Riverview, FL 33579-2119
Phone (813) 252-0978
Other providers in Riverview, FL
- Accucollect Labs LLC
- Acorn Health of Florida, LLC
- Faithe A Adaire
- Breanna Adams
- Olive Adams
- Jesse Addis
- Oluwatoyin Adegoke
- Fiona Naomi Adesoye
- Cheryl L Adkins
- Judi-Ann Adman
All providers in Riverview, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.