Concetta A Hillman, | |
3292 County Road 220, Middleburg, FL 32068-4357 | |
(904) 291-5561 | |
(904) 291-5575 |
Full Name | Concetta A Hillman |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3292 County Road 220, Middleburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366093247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW15090 (Florida) | Primary |
Entity Name | Clay Behavioral Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275619488 PECOS PAC ID: 7911990353 Enrollment ID: O20040403000094 |
Mailing Address | Practice Location Address |
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Concetta A Hillman, 1726 Kingsley Ave Ste 2, Orange Park, FL 32073-4411 Ph: () - | Concetta A Hillman, 3292 County Road 220, Middleburg, FL 32068-4357 Ph: (904) 291-5561 |
Keishla Huertas-gonzalez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Stephanie Burkes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Avneesh Singh Arora, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 College Dr Ste 200, Middleburg, FL 32068 Phone: 904-213-2700 | |
Mr. Amin Ella Faiz, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 College Dr Ste 200, Middleburg, FL 32068 Phone: 904-213-2700 | |
Antovise Arnice Connor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3812 Great Falls Loop, Middleburg, FL 32068 Phone: 904-910-7379 | |
Lisa Robyn Stiller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5572 |