NPI 1013392810 · live from the CMS NPI Registry
Terry Abbott
Social Worker, Clinical in Fort Walton Beach, FL. National Provider Identifier 1013392810, active.
NPI record
| NPI | 1013392810 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 648 Overbrook Dr, Fort Walton Beach, FL 32547 |
| Practice phone | 850-736-5211 |
| Enumerated | July 22, 2015 |
| Last updated | August 11, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | SW15100 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.