Gavin Malcolm, LCSW | |
12989 Southern Blvd Ste 102, Loxahatchee, FL 33470-9205 | |
(561) 513-6716 | |
(561) 660-8472 |
Full Name | Gavin Malcolm |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 12989 Southern Blvd Ste 102, Loxahatchee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811669062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW7693 (Florida) | Primary |
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
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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Gavin Malcolm, LCSW 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 Ph: (239) 223-2751 | Gavin Malcolm, LCSW 12989 Southern Blvd Ste 102, Loxahatchee, FL 33470-9205 Ph: (561) 513-6716 |
Mrs. Theresa Ann Drechsel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17888 67th Ct N, Loxahatchee, FL 33470 Phone: 844-866-8336 | |
Mrs. Amber Rose Terrell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17888 67th Ct N, Loxahatchee, FL 33470 Phone: 844-830-7233 | |
Caitlin Lee Yecker, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16926 89th Pl N, Loxahatchee, FL 33470 Phone: 508-536-8469 | |
Ms. Catherine Marie Reiss, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12957 Palms West Dr, Suite 101, Loxahatchee, FL 33470 Phone: 561-790-3750 Fax: 561-792-5874 | |
Mrs. Katie Stafford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16020 Okeechobee Blvd, Loxahatchee, FL 33470 Phone: 561-389-1161 | |
Miss Debra L Curry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12977 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-790-1876 |