Brian Wahl, LCSW | |
356 Englenook Dr, Debary, FL 32713-1805 | |
(386) 236-3200 | |
Not Available |
Full Name | Brian Wahl |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 356 Englenook Dr, Debary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750757373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW12336 (Florida) | Primary |
Entity Name | Sma Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356329163 PECOS PAC ID: 0244226363 Enrollment ID: O20040423000483 |
Mailing Address | Practice Location Address |
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Brian Wahl, LCSW 1220 Willis Ave, Daytona Beach, FL 32114-2810 Ph: () - | Brian Wahl, LCSW 356 Englenook Dr, Debary, FL 32713-1805 Ph: (386) 236-3200 |
Ocean Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 543 Lazio Cir, Debary, FL 32713 Phone: 321-295-3443 | |
Mr. Charles Miceli, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 465 Summerhaven Dr, Suite 1-a, Debary, FL 32713 Phone: 407-493-8181 Fax: 407-788-3075 | |
Angela Parker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 512 Fern Lake Ter, Debary, FL 32713 Phone: 386-228-0602 | |
Ana Teresa Rodriguez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 352 Englenook Dr, Debary, FL 32713 Phone: 407-732-7266 Fax: 407-732-7310 | |
Danielle Moran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 Enterprise Rd., Ste 105, Debary, FL 32713 Phone: 407-212-7248 | |
Ruth Alcantara-zboinski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 398 Hickory Springs Pl, Debary, FL 32713 Phone: 800-914-7438 |