Charisse T Reid, | |
12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | |
(813) 693-2516 | |
Not Available |
Full Name | Charisse T Reid |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 12512 Bruce B Downs Blvd, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679113906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW21485 (Florida) | Primary |
1041C0700X | Social Worker - Clinical | ISW13760 (Florida) | Secondary |
Entity Name | Northside Behavioral Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669498002 PECOS PAC ID: 9931187911 Enrollment ID: O20040708000284 |
Entity Name | Baycare Behavioral Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225312549 PECOS PAC ID: 4688649122 Enrollment ID: O20040830000131 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Charisse T Reid, 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Charisse T Reid, 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 Ph: (813) 693-2516 |
Darlene H Allen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5707 N 22nd St, Tampa, FL 33610 Phone: 813-239-8000 Fax: 813-272-3766 | |
Bryant C Barbour, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4422 E Columbus Dr., Tampa, FL 33605 Phone: 813-384-4079 | |
Ms. Clarissia Brown, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2021 Busch Blvd, Tampa, FL 33612 Phone: 813-631-4370 Fax: 813-631-4399 | |
Sasha J Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 N Gomez Ave, Tampa, FL 33609 Phone: 813-787-1623 | |
Jennifer Faith Gobeli, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8905 Regents Park Dr Ste 230, Tampa, FL 33647 Phone: 727-314-5468 | |
Ms. Linda L Mann, LCSW, CAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4422 E Columbus Dr, Tampa, FL 33605 Phone: 813-980-3866 Fax: 813-984-8374 | |
Amy Lynn Abdnour, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 S Hoover Blvd Ste 185, Tampa, FL 33609 Phone: 813-679-3845 |