Elisabeth Grace Benovic, LCSW | |
1726 17th St S, St Petersburg, FL 33712-2814 | |
(305) 934-7638 | |
Not Available |
Full Name | Elisabeth Grace Benovic |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1726 17th St S, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811407562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Behavioral Health Management Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417052713 PECOS PAC ID: 1456262450 Enrollment ID: O20040115000480 |
Entity Name | Baycare Behavioral Health Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245502152 PECOS PAC ID: 2567624836 Enrollment ID: O20120502000477 |
Mailing Address | Practice Location Address |
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Elisabeth Grace Benovic, LCSW 2850 34th St N # 1140, St Petersburg, FL 33713-3635 Ph: (305) 934-7638 | Elisabeth Grace Benovic, LCSW 1726 17th St S, St Petersburg, FL 33712-2814 Ph: (305) 934-7638 |
Daniele Herrmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Carillon Pkwy, St Petersburg, FL 33716 Phone: 800-662-9508 | |
Nancy Rae Russell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6737 1st Ave S, St Petersburg, FL 33707 Phone: 727-341-1000 Fax: 727-341-1000 | |
William Jason Vejcik, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 855 Central Ave Unit 1114, St Petersburg, FL 33701 Phone: 313-400-7875 | |
Jomon John Thekkethottiyil, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4024 Central Ave, St Petersburg, FL 33711 Phone: 727-327-7656 | |
Melissa Davidson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702 Phone: 786-246-2732 | |
Erin St John, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1001 16th St S, St Petersburg, FL 33705 Phone: 727-327-7656 Fax: 727-322-2130 | |
Mrs. Karie Maloney Johnston, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702 Phone: 407-900-5092 |