Carol Spencer, LCSW | |
3905 Grissom Pkwy, Cocoa, FL 32926-3669 | |
(321) 637-1866 | |
(321) 634-3539 |
Full Name | Carol Spencer |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3905 Grissom Pkwy, Cocoa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023567195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 13717 (Florida) | Primary |
Entity Name | Good Samaritan Health & Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407174675 PECOS PAC ID: 7719136209 Enrollment ID: O20120926000639 |
Mailing Address | Practice Location Address |
---|---|
Carol Spencer, LCSW 175 Samaritan Dr, Jasper, GA 30143-1964 Ph: (706) 253-4673 | Carol Spencer, LCSW 3905 Grissom Pkwy, Cocoa, FL 32926-3669 Ph: (321) 637-1866 |
Mrs. Loraine Catalano Schuh, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 Phone: 321-431-6857 | |
Ryan Rutkowski, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 505 Brevard Ave, Cocoa, FL 32922 Phone: 579-232-1632 | |
Michele Becerra-williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 Brevard Ave, Cocoa, FL 32922 Phone: 321-637-5792 | |
Mrs. Tracy Ann Crawford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Brevard Ave Ste 104, Cocoa, FL 32922 Phone: 321-433-1111 | |
Deborah Lee Lapoint, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2311 State Road 524 # 120, Cocoa, FL 32926 Phone: 321-866-8083 | |
Ms. Robin Renee Rich, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Saint Johns Street, Cocoa, FL 32922 Phone: 321-639-9800 Fax: 321-639-6007 |