Slade, Callie D

Slade, Callie D is an individual health care provider with primary practice located at 1540 International Pkwy , Lake Mary FL 32746-5096. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Slade, Callie D can be contacted via phone (501) 663-1837.

Contact Information

Primary practice address
1540 International Pkwy Lake Mary FL 32746-5096
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW16133 Florida

Profile Details

NPI number 1669724167
LBN Legal business name Slade, Callie D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2012
Last updated Mar 15th, 2025 - 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 1669724167 NPPES
Arkansas MEDICAID 104100000X

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