Janice Louise Ricks, LCSW-S & LISW-S

Individual provider Active NPI Clinical Social Worker · Umatilla, FL

NPI 1295448264 · NPPES record last updated Jan 4, 2023

Key facts

NPI
1295448264
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW6816 (FL)
Practice address
181 E Lakeview St
Umatilla, FL 32784-9588
Phone
(407) 489-2860
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW6816FLMDClinical Social Worker
I0600028OHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0600028 OH
Clinical Social Worker 1041C0700X SW6816 FL Yes

Addresses

Primary practice location

181 E Lakeview St
Umatilla, FL 32784-9588

Mailing address

181 E Lakeview St
Umatilla, FL 32784-9588
Phone (407) 489-2860

Other providers in Umatilla, FL

All providers in Umatilla, FL · Clinical Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.