Rhonda Gaddis, LCSW

Individual provider Active NPI Clinical Social Worker · Hernando, FL

NPI 1922459320 · NPPES record last updated Jun 27, 2016

Key facts

NPI
1922459320
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW11106 (FL)
Practice address
108 N Mineral Ter
Hernando, FL 34442-3216
Phone
(352) 270-8674
NPI assigned
Jun 27, 2016
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
SW11106FLMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW11106 FL Yes

Addresses

Primary practice location

108 N Mineral Ter
Hernando, FL 34442-3216

Mailing address

108 N Mineral Ter
Hernando, FL 34442-3216
Phone (352) 270-8674

Other providers in Hernando, FL

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

Sources for this page

Verify at the official NPI Registry.