| Entity Name: | ILENE A SCHARF MSW LCSW, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Dec 2011 (13 years ago) |
| Document Number: | P11000106728 |
| FEI/EIN Number | 45-4063595 |
| Address: | 6767 N. WICKHAM ROAD, SUITE 400, MELBOURNE, FL, 32940 |
| Mail Address: | 6767 N. WICKHAM ROAD, SUITE 400, MELBOURNE, FL, 32940 |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992184428 | 2015-05-29 | 2015-05-29 | 3425 SHADY RUN RD, MELBOURNE, FL, 329348569, US | 6767 N WICKHAM RD, MELBOURNE, FL, 329402031, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 321-446-3603 |
| Phone | +1 321-421-6982 |
Authorized person
| Name | MRS. ILENE A SCHARF |
| Role | PRESIDENT AND OWNER |
| Phone | 3214216982 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 767381700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCHARF ILENE A | Agent | 6767 N. WICKHAM ROAD, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| SCHARF ILENE A | President | 6767 N. WICKHAM ROAD, MELBOURNE, FL, 32940 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-01-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
