NICOLE AMBER TEDESCO (NPI# 1376041640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376041640 |
| Entity Type | Individual |
| Full Name | NICOLE AMBER TEDESCO |
| Credential | LCSW |
| Practice Address |
17222 Hospital Blvd Ste 116 Brooksville FL 34601-8925 |
| Mailing Address |
2469 Glenridge Dr Spring Hill FL 34609-3933 |
| Practice Telephone | 3526785550 |
| Mailing Telephone | 3528351955 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW15102 | FL | Behavioral Health & Social Service Providers |
| Street Address |
17222 HOSPITAL BLVD STE 116 |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601-8925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407822422 | Mit Navanit Desai | Surgery | 17222 Hospital Blvd Ste 116, Brooksville, FL 34601-8925 | 2006-02-28 |
| 1386795177 | Lutz Surgical Partners LLC | Surgery | 17222 Hospital Blvd Ste 116, Brooksville, FL 34601-8925 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831589506 | Sherri Jeorjia O'connor | Social Worker | 8080 B W Stevenson Rd, Brooksville, FL 34613-6132 | 2015-02-02 |
| 1619202330 | Sophia Greiner | Social Worker | 10577 Rain Forest Rd, Brooksville, FL 34601-1688 | 2009-10-14 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| 1578669941 | Sandra Comi | Social Worker | 15123 Morgan Ln, Brooksville, FL 34601-1106 | 2006-09-15 |
| 1578582904 | Lane Stephenson | Social Worker | 134 Grandview Dr, Brooksville, KY 41004-8213 | 2006-07-18 |
| 1689228355 | Jessica Mueller | Social Worker | 17222 Hospital Blvd Ste 226, Brooksville, FL 34601-8925 | 2019-07-30 |
| 1720584808 | Krystal Brown | Social Worker | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2018-04-05 |
| 1588116677 | Red Road Holistic Heatlh, Inc | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601-1236 | 2016-10-25 |
| 1922466283 | Manatee Counseling Group LLC | Social Worker | 7074 Grove Rd, Brooksville, FL 34609-8658 | 2016-02-02 |
| 1487046710 | Dawn Head | Social Worker | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2015-02-24 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
Please comment or provide details below to improve the information on NICOLE AMBER TEDESCO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.