Teresa Ellsworth, Lcsw - Mental Health Clinic in Fleming Island, FL

Teresa Ellsworth, Lcsw is a mental health clinic (Social Worker - Clinical) in Fleming Island, Florida. The current practice location for Teresa Ellsworth, Lcsw is 2219 Harbor Lake Dr, Fleming Island, Florida. For appointments, you can reach them via phone at (734) 673-3075. The mailing address for Teresa Ellsworth, Lcsw is 2219 Harbor Lake Dr, Fleming Island, Florida and phone number is (734) 673-3075.

Teresa Ellsworth, Lcsw is licensed to practice in * (Not Available) (license number ) and its NPI number is 1871067736. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (734) 673-3075.

Contact Information

Teresa Ellsworth, Lcsw
2219 Harbor Lake Dr
Fleming Island
FL 32003-7796
(734) 673-3075
(904) 375-8347

Mental Health Clinic Profile

Full NameTeresa Ellsworth, Lcsw
SpecialitySocial Worker - Clinical
Location2219 Harbor Lake Dr, Fleming Island, Florida
Authorized Official Name and PositionTeresa Ellsworth (OWNER)
Authorized Official Contact7346733075
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Teresa Ellsworth, Lcsw
2219 Harbor Lake Dr
Fleming Island
FL 32003-7796

Ph: (734) 673-3075
Teresa Ellsworth, Lcsw
2219 Harbor Lake Dr
Fleming Island
FL 32003-7796

Ph: (734) 673-3075

NPI Details:

NPI Number1871067736
Provider Enumeration Date01/14/2019
Last Update Date01/14/2019

Medical Identifiers

Medical identifiers for Teresa Ellsworth, Lcsw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871067736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

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Social Worker in Fleming Island, FL

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Medicare: Not Enrolled in Medicare
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Phone: 904-759-7462    Fax: 904-269-0021
Healing Spirit Counseling Center, Llc
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Medicare: Not Enrolled in Medicare
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