Dylan Martin, | |
2510 Beck Cir, Deltona, FL 32738-6765 | |
(386) 747-6409 | |
Not Available |
Full Name | Dylan Martin |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2510 Beck Cir, Deltona, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982071387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW 9832 (Florida) | Primary |
Entity Name | Beth Davalos Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932760451 PECOS PAC ID: 3375978414 Enrollment ID: O20200117000046 |
Mailing Address | Practice Location Address |
---|---|
Dylan Martin, 2510 Beck Cir, Deltona, FL 32738-6765 Ph: (386) 747-6409 | Dylan Martin, 2510 Beck Cir, Deltona, FL 32738-6765 Ph: (386) 747-6409 |
Matthew Mcnerney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1067 Prescott Blvd, Deltona, FL 32738 Phone: 386-566-1847 | |
Margarita Aiken-averett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1602 Giffen Ave, Deltona, FL 32738 Phone: 917-683-4601 | |
Janae Ponder, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 756 Elkcam Blvd Ste F, Deltona, FL 32725 Phone: 386-400-3100 Fax: 386-968-3257 | |
Korresha Walker-hampton, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 Deltona Blvd Ste A, Deltona, FL 32725 Phone: 386-259-5413 Fax: 386-753-9265 | |
Madison Stahler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 Deltona Blvd, Deltona, FL 32725 Phone: 772-559-7607 | |
Jennifer Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 Deltona Blvd Ste A, Deltona, FL 32725 Phone: 386-259-5413 | |
Adam Cohen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 Kangley Ave, Deltona, FL 32738 Phone: 321-266-8603 |