Provider Demographics
NPI:1861283277
Name:FLORES SALDANA, MERARI GARDENIA (LCSW)
Entity type:Individual
Prefix:
First Name:MERARI
Middle Name:GARDENIA
Last Name:FLORES SALDANA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S HOOVER BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3574
Mailing Address - Country:US
Mailing Address - Phone:813-563-1155
Mailing Address - Fax:
Practice Address - Street 1:205 S HOOVER BLVD STE 202
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3574
Practice Address - Country:US
Practice Address - Phone:813-563-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW243521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty