Scully, Joan M.

Scully, Joan M. is an sole proprietor health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1135. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Scully, Joan M. can be contacted via phone (352) 384-3560.

Contact Information

Primary practice address
1601 Sw Archer Rd Gainesville FL 32608-1135
Phone: (352) 384-3560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X SW5976 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW5976 Florida

Profile Details

NPI number 1225267636
LBN Legal business name Scully, Joan M.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2009
Last updated Jan 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225267636 NPPES
Other 7034W BLUE CROSS/BLUE SHIELD
Other 885972323 BLUE CROSS/BLUE SHIELD

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