Carmen Michele Virtuoso, LCSW | |
2102 S Ridgewood Ave, Edgewater, FL 32141-4240 | |
(386) 853-9100 | |
Not Available |
Full Name | Carmen Michele Virtuoso |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2102 S Ridgewood Ave, Edgewater, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336871854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW20129 (Florida) | Primary |
Entity Name | Mindful Healing Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528794336 PECOS PAC ID: 1759757867 Enrollment ID: O20221014000507 |
Mailing Address | Practice Location Address |
---|---|
Carmen Michele Virtuoso, LCSW 664 Aldenham Ln, Ormond Beach, FL 32174-1019 Ph: (917) 509-4038 | Carmen Michele Virtuoso, LCSW 2102 S Ridgewood Ave, Edgewater, FL 32141-4240 Ph: (386) 853-9100 |
Trisha S Peterson, RSWI Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Sanchez Ave, Edgewater, FL 32132 Phone: 386-481-4782 | |
Meghan Budvarson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2129 Pine Tree Dr, Edgewater, FL 32141 Phone: 386-589-8161 | |
Mrs. Dorothy Irene Cast, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 Cherrywood Ln, Edgewater, FL 32132 Phone: 386-663-7031 | |
Audra Mary Willsey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3504 Rock Oak Trl, Edgewater, FL 32141 Phone: 321-287-8567 |