Danielle Mickla, | |
2700 Westhall Ln Ste 118, Maitland, FL 32751-7451 | |
(855) 284-7483 | |
(617) 807-0958 |
Full Name | Danielle Mickla |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2700 Westhall Ln Ste 118, Maitland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205523768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW20439 (Florida) | Primary |
Entity Name | Thriveworks Clinical - Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
Mailing Address | Practice Location Address |
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Danielle Mickla, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483 | Danielle Mickla, 2700 Westhall Ln Ste 118, Maitland, FL 32751-7451 Ph: (855) 284-7483 |
Ms. Mamie Khamalah Lumpkin- Gordon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1009 Maitland Center Commons Blvd, #212, Maitland, FL 32751 Phone: 407-636-3532 Fax: 321-256-5292 | |
Miss Mary Allison Lambert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 955 N Orlando Ave Apt 277, Maitland, FL 32751 Phone: 407-668-8142 | |
Chiante Berry, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751 Phone: 407-493-7445 | |
Ms. Tracy Lee Earle, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd, #212, Maitland, FL 32751 Phone: 800-840-9528 Fax: 407-540-9552 | |
Ms. Anderline Bredy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Westhall Ln Ste 207, Maitland, FL 32751 Phone: 800-630-1002 | |
Stephanie Vacala, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 S Orlando Ave Ste 206, Maitland, FL 32751 Phone: 407-378-3000 | |
Ms. Frances Denise Collazo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Spartan Dr, Maitland, FL 32751 Phone: 407-331-8002 |