Lindsey Gullo, LCSW | |
4475 Us 1 S, 608, St Augustine, FL 32086-7284 | |
(716) 696-0378 | |
Not Available |
Full Name | Lindsey Gullo |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4475 Us 1 S, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760706261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Refresh Canopy Cove, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354 |
Mailing Address | Practice Location Address |
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Lindsey Gullo, LCSW 4475 Us 1 S, 608, St Augustine, FL 32086-7284 Ph: (716) 696-0378 | Lindsey Gullo, LCSW 4475 Us 1 S, 608, St Augustine, FL 32086-7284 Ph: (716) 696-0378 |
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 |