Melissa Maria Euteneuer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10669 Issued in FL

Practice address

15311 Cortez Blvd
Brooksville, FL 34613-6005

Phone

(866) 762-1743

Fax

(727) 816-1222

NPI assigned

Jun 12, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1588824510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15311 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136005",
            "telephone_number": "866-762-1743",
            "fax_number": "727-816-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15311 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136005",
            "telephone_number": "866-762-1743",
            "fax_number": "727-816-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5327 Commercial Way",
            "address_2": "Suite C-115",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346061448",
            "country_code": "US",
            "telephone_number": "352-597-5497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUTENEUER",
        "first_name": "MELISSA",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "15563",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "10669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Mondares Erana, PHYSICAL THERAPIST
• Erin Abbott Street Mateer MD PLLC
• Hannah Sam Ersoff, AU.D.
• Harvey N Esrov, MD
• James Jinsang Eun, MD
• Eye in Sight, LLC
• Eyecare Centers of Florida LLC
• Edwin Obiajulu Ezekwu-Elendu, MD
• Juan C Fabrega, DMD
• Maryam Fahda, MD

• Clinical Social Worker in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.