LILLIAM BLUNDELL (NPI# 1376055988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376055988 |
| Entity Type | Individual |
| Full Name | LILLIAM BLUNDELL |
| Credential | LCSW |
| Practice Address |
390 Pondella Rd Ste 9 North Fort Myers FL 33903-4340 |
| Mailing Address |
15159 Oxford Cv Apt 2501 Fort Myers FL 33919-3914 |
| Practice Telephone | 2396520260 |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2017-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW14300 | FL | Behavioral Health & Social Service Providers |
| Street Address |
390 PONDELLA RD STE 9 |
| City | NORTH FORT MYERS |
| State | FL |
| Zip Code | 33903-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710175492 | Michelle Marie Ferrell | Speech-Language Pathologist | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2007-10-09 |
| 1114563764 | Cynthia Ann Johnson | Counselor | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2019-11-19 |
| 1780234401 | Claudia Maria Cardamone-hoffman | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2019-09-14 |
| 1366091118 | Emily Jane Martin | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2019-09-04 |
| 1720634553 | Jill E Allen | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2019-08-16 |
| 1053970194 | Ultima Rehab-fl LLC | Occupational Therapist | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2019-06-12 |
| 1518520113 | Cara Egbert | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2019-04-18 |
| 1003399676 | Mireille Taime | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2018-09-10 |
| 1306327531 | Ellen Ridley | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2018-08-26 |
| 1780170258 | Marie France Leclerc | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2018-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194376590 | Tls Consulting, LLC | Community/Behavioral Health | 13971 N. Cleveland Avenue #9, North Fort Myers, FL 33903 | 2019-09-26 |
| 1710537857 | Mariel Hernandez | Nurse Practitioner | 16251 N Cleveland Ave Ste 12, North Fort Myers, FL 33903 | 2019-09-19 |
| 1003308644 | Brandon Paige | Behavior Technician | 4085 Hancock Bridge Pkwy Unit 101, North Fort Myers, FL 33903 | 2018-05-30 |
| 1386176253 | Annette Porter | Clinic/Center | 995 Pondella Rd., North Fort Myers, FL 33903 | 2017-03-30 |
| 1972873883 | Apinya Suppatkul | Pharmacist | 17050 N Tamiami Trl, Fort Myers, FL 33903 | 2012-01-09 |
| 1932340536 | Jessica Winter Poe | Dentist | 19001north Tamiami Trail, Suite #3171, North Fort Myers, FL 33903 | 2009-03-12 |
| 1710127055 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 13240 N. Cleveland Ave., Suite 12, North Ft. Myers, FL 33903 | 2009-02-26 |
| 1013031038 | Mark B. Gorby | Dentist | 14731 N. Cleveland Ave., Suite 1 Community Dental Care, N. Fort Myers, FL 33903 | 2007-03-16 |
| 1285704882 | Jon L. Rauch | Dentist | 19001 N. Tamiami Trail, N. Ft Myers, FL 33903 | 2006-11-09 |
| 1639254188 | Paradise Medical Center | Pediatrics | 1890 North Tamiami Trail, #d2, North Fort Myers, FL 33903 | 2006-10-25 |
| Find all providers in zip 33903 | ||||
| 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 |
|---|---|---|---|---|
| 1336765676 | Sunscape Counseling, LLC | Social Worker | 3436 Marinatown Ln Unit 7c, North Fort Myers, FL 33903-7058 | 2020-06-23 |
| 1215582994 | Hannah Ganskop | Social Worker | 390 Pondella Rd Ste 9n, North Fort Myers, FL 33903-4340 | 2019-08-08 |
| 1548435118 | Lowell Robert Lewis | Social Worker | 5857 Littlestone Ct, North Fort Myers, FL 33903-4922 | 2008-04-24 |
| 1780234401 | Claudia Maria Cardamone-hoffman | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2019-09-14 |
| 1720634553 | Jill E Allen | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2019-08-16 |
| 1518520113 | Cara Egbert | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2019-04-18 |
| 1003399676 | Mireille Taime | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2018-09-10 |
| 1780170258 | Marie France Leclerc | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2018-07-07 |
| 1962900464 | Alecia Rager | Social Worker | 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | 2018-01-30 |
| 1952653396 | Christopher Messersmith | Social Worker | 3440 Marinatown Ln, 203, North Fort Myers, FL 33903-7049 | 2012-10-09 |
| Find all providers in NORTH FORT MYERS | ||||
| City | NORTH FORT MYERS |
| Zip Code | 33903 |
Please comment or provide details below to improve the information on LILLIAM BLUNDELL.
| 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.