Tejah Carbone, LCSW
Social Worker, Clinical in Orlando, FL. Individual provider (NPI-1).
NPI number1902405830
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1902405830
- Entity type
- Individual (NPI-1)
- Name
- Tejah Carbone
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW11323 | FL | Yes |
Practice location
2630 S Tanner RdOrlando, FL 32820-1202
Phone 407-257-5015
Mailing address
2630 S Tanner RdOrlando, FL 32820-1202
Phone 407-257-5015
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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