Chantelle Grant, LCSW | |
3782 Tamiami Trl, Suite A, Port Charlotte, FL 33952-8308 | |
(941) 629-7855 | |
(941) 629-9589 |
Full Name | Chantelle Grant |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 3782 Tamiami Trl, Port Charlotte, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780855312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW8993 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jose M Gonzalez-canal P A | 4981781440 | 4 |
Entity Name | Cgr Beacon Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841220811 PECOS PAC ID: 2466456843 Enrollment ID: O20060828000449 |
Entity Name | Jose M Gonzalez-canal P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568514073 PECOS PAC ID: 4981781440 Enrollment ID: O20080709000435 |
Mailing Address | Practice Location Address |
---|---|
Chantelle Grant, LCSW Po Box 496080, Port Charlotte, FL 33949-6080 Ph: (941) 629-7855 | Chantelle Grant, LCSW 3782 Tamiami Trl, Suite A, Port Charlotte, FL 33952-8308 Ph: (941) 629-7855 |
Charity Shier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3524 Tamiami Trl, Port Charlotte, FL 33952 Phone: 941-286-1227 | |
Mrs. Linda Mary Mccauslin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4161 Tamiami Trl, Ste. 401, Port Charlotte, FL 33952 Phone: 941-235-2710 | |
Brenda Gonzalez Camacho, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952 Phone: 941-613-1356 Fax: 941-613-1591 | |
Mrs. Lisa Morazes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3191 Harbor Blvd Ste A, Port Charlotte, FL 33952 Phone: 941-883-4518 Fax: 941-391-5975 | |
Ms. Lisa Marie Vullo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3432 Depew Ave, Port Charlotte, FL 33952 Phone: 848-422-9245 Fax: 848-422-9245 | |
Joan Elizaabeth Welker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2183 Beacon Dr, Port Charlotte, FL 33952 Phone: 941-979-5081 | |
Ms. Susie Jane Holliday, RCSWI, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18651 Ayrshire Cir, Port Charlotte, FL 33948 Phone: 941-258-6567 |