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Provider Information for 1306984430


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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Ms. MARY MARGARET WHEELER LCSW


Other Names:  
Other Name: 
Miss MARY MARGARET WHEELER LCSW

Sex: Female

NPI: 1306984430
Last Updated: 2021-02-25
Certification Date: 2021-02-25

Details

NameValue
NPI1306984430
Enumeration Date2007-02-01
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 601 WEBSTER ST
WILDWOOD, FL 34785-3828
United States

Phone: 352-391-8852 | Fax:
 
Primary Practice Address 601 WEBSTER ST
WILDWOOD, FL 34785-3828
United States

Phone: 352-391-8852 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)FL0000000MHNet
MEDICAIDFL001974800
Other (non-Medicare)FL1306984430Tri Care
Other (non-Medicare)FL1306984430Value Options
Other (non-Medicare)FL3263871Cigna
Other (non-Medicare)FLZ01QHBCBSFL
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalCT005131
Yes 1041C0700X - Social Worker - ClinicalFL9734