Kathleen Smotherman, | |
1955 Us 1 S, C-2, St Augustine, FL 32086-3708 | |
(904) 209-6215 | |
Not Available |
Full Name | Kathleen Smotherman |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 1955 Us 1 S, St Augustine, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992106298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW12211 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sma Healthcare Inc | 0244226363 | 24 |
Entity Name | Sma Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356329163 PECOS PAC ID: 0244226363 Enrollment ID: O20040423000483 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Smotherman, 1955 Us 1 S, C-2, St Augustine, FL 32086-3708 Ph: (904) 209-6215 | Kathleen Smotherman, 1955 Us 1 S, C-2, St Augustine, FL 32086-3708 Ph: (904) 209-6215 |
Denise Mershon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1880 San Sebastian Vw, St Augustine, FL 32084 Phone: 800-539-4228 | |
Mrs. Gwendolen Haydon Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Kingsley Lake Dr, Suite 702, St Augustine, FL 32092 Phone: 904-716-5619 | |
Mrs. Alyssa A Thaxton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 485 Aventurine Ave, St Augustine, FL 32086 Phone: 706-917-9212 | |
Alicia Busic, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Kingsley Lake Dr Ste 702, St Augustine, FL 32092 Phone: 405-397-1617 | |
Mr. Michael John Meehan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9 Saint Johns Medical Pk Dr, St Augustine, FL 32086 Phone: 904-797-2705 Fax: 904-797-2820 | |
Mrs. Vivian Juvan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2120 Us 1 S, Suite 104, St Augustine, FL 32086 Phone: 904-304-5282 | |
Ashton Timmons, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 362 Varella Ave, St Augustine, FL 32084 Phone: 941-544-0240 |