Lisa Raigeluw, | |
8610 Mercator Ct, Parrish, FL 34219-1833 | |
(808) 938-7047 | |
Not Available |
Full Name | Lisa Raigeluw |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8610 Mercator Ct, Parrish, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952069379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW19243 (Florida) | Primary |
Entity Name | Beth Davalos Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932760451 PECOS PAC ID: 3375978414 Enrollment ID: O20200117000046 |
Mailing Address | Practice Location Address |
---|---|
Lisa Raigeluw, 8610 Mercator Ct, Parrish, FL 34219-1833 Ph: (808) 938-7047 | Lisa Raigeluw, 8610 Mercator Ct, Parrish, FL 34219-1833 Ph: (808) 938-7047 |
Valerie Yost, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12271 Us Highway 301 N, Parrish, FL 34219 Phone: 941-776-4000 | |
Melissa Beth Dressler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12271 Us Highway 301 N, Parrish, FL 34219 Phone: 941-776-4000 Fax: 941-845-4963 | |
Sarah Emmons, LMHC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11535 Moonsail Dr, Parrish, FL 34219 Phone: 508-353-7537 | |
Michael Cornell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12271 Us Highway 301 N, Parrish, FL 34219 Phone: 941-776-4000 Fax: 941-845-4963 | |
Brooke Davis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12271 Us Highway 301 N, Parrish, FL 34219 Phone: 941-776-4000 | |
Valerie Weeks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12271 Us Highway 301 N, Parrish, FL 34219 Phone: 941-776-4000 | |
Susan Arden Cote, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11726 Major Turner Run, Parrish, FL 34219 Phone: 973-432-0746 |