Emma Ime Andem, | |
2944 Penn Ave Ste L, Marianna, FL 32448-2741 | |
(850) 526-5500 | |
(850) 526-5536 |
Full Name | Emma Ime Andem |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2944 Penn Ave Ste L, Marianna, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336496256 | NPI | - | NPPES |
008993500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW 11297 (Florida) | Primary |
Entity Name | Florida Therapy Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972548022 PECOS PAC ID: 9133022577 Enrollment ID: O20040209000800 |
Mailing Address | Practice Location Address |
---|---|
Emma Ime Andem, Po Box 844, Marianna, FL 32447-0844 Ph: (850) 557-9202 | Emma Ime Andem, 2944 Penn Ave Ste L, Marianna, FL 32448-2741 Ph: (850) 526-5500 |
Alexandra Lytle O'brien, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4540 Lafayette St, Marianna, FL 32446 Phone: 850-942-2000 | |
Mrs. Sofia Denise Olds, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3004 Chase Way, Marianna, FL 32446 Phone: 850-616-2833 | |
Tanya Scroggins Gulledge, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2944 Penn Ave Ste L, Marianna, FL 32448 Phone: 850-526-5500 | |
Mrs. Sherri Lynne Stone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4094 Lafayette St, Marianna, FL 32446 Phone: 850-426-7441 | |
Bennett Samuels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4094 Lafayette St, Marianna, FL 32446 Phone: 850-482-7441 Fax: 850-914-8261 | |
Rochelle Powell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4540 Lafayette St Ste C, Marianna, FL 32446 Phone: 850-942-2000 Fax: 850-942-2003 |