Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elmer Wiscovitch

Individual provider Counselor · NPI 1346851136

Elmer Wiscovitch is a Clinical Social Worker in Lake City, Florida. Qualified in 2020, 6 years ago. Practices with Mana Health Partners PA, a 98-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

439 SW Michigan St
Lake City, FL 32025-0440
Phone: (386) 487-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 21380 (FL)
Counselor Taxonomy 101Y00000X

Record details

NPI number1346851136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2020
Last updated in NPPESMay 7, 2023
Certification dateMay 7, 2023
Mailing address411 Nw 95th. Way, Gainesville, FL 32607

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mana Health Partners Pa — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake City