Corey Jamian Mallette, LCSW | |
2851 Skipper St, The Villages, FL 32163-0387 | |
(917) 836-2646 | |
Not Available |
Full Name | Corey Jamian Mallette |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2851 Skipper St, The Villages, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811446735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW21896 (Florida) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
Entity Name | Clearpath Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104406362 PECOS PAC ID: 7315343464 Enrollment ID: O20210915001021 |
Mailing Address | Practice Location Address |
---|---|
Corey Jamian Mallette, LCSW 2851 Skipper St, The Villages, FL 32163-0387 Ph: () - | Corey Jamian Mallette, LCSW 2851 Skipper St, The Villages, FL 32163-0387 Ph: (917) 836-2646 |
Karalyn Macgillivary, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17360 Se 70th Royal Pine Ct, The Villages, FL 32162 Phone: 586-219-4068 | |
Mrs. Gayle L Joyce, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Tate Gregory Ct, The Villages, FL 32163 Phone: 603-781-2003 | |
Ms. Mae Leone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1950 Laurel Manor Dr, Bldg 240, The Villages, FL 32162 Phone: 352-205-8900 | |
Ida Ann Perea, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1247 Allaire Loop, The Villages, FL 32163 Phone: 434-962-0181 | |
Susan M Roy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1400 N Us Highway 441 Ste 553, The Villages, FL 32159 Phone: 352-706-7799 | |
Mrs. Stephanie Lynn Hicks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Old Camp Rd Ste 100, The Villages, FL 32162 Phone: 352-674-1760 | |
Mrs. Robyn Margaret Hawley, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4649 Ramsell Rd, The Villages, FL 32163 Phone: 352-234-4878 |