Judith Mitchell, LCSW | |
804 N Rose Ave, Kissimmee, FL 34741-4944 | |
(407) 518-1143 | |
Not Available |
Full Name | Judith Mitchell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 804 N Rose Ave, Kissimmee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447760772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW13337 (Florida) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
Mailing Address | Practice Location Address |
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Judith Mitchell, LCSW 4906 Cypress Hammock Dr, Saint Cloud, FL 34771-8921 Ph: (407) 319-9314 | Judith Mitchell, LCSW 804 N Rose Ave, Kissimmee, FL 34741-4944 Ph: (407) 518-1143 |
Mrs. Brenda Santos-soto, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3105 Seaview Castle Dr, Kissimmee, FL 34746 Phone: 321-217-1231 | |
Mr. Eric Portalatin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Zacalo Way, Kissimmee, FL 34743 Phone: 407-910-8112 | |
Nicole Marie Castro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4355 Summer Breeze Way, Kissimmee, FL 34744 Phone: 321-480-0890 | |
Mariel Mercado-rodriguez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 318 Falling Water Dr, Kissimmee, FL 34759 Phone: 904-881-0486 | |
Amanda Melendez-williams, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3023 Sera Bella Way, Kissimmee, FL 34744 Phone: 321-362-0443 | |
Priscilla Mercado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1320 N Main St, Kissimmee, FL 34744 Phone: 407-343-6006 Fax: 407-343-8289 | |
Reyna Astacio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1012 Emmett St Ste A, Kissimmee, FL 34741 Phone: 407-382-9079 |