Lucille Fernandez, LCSW | |
371 6th Ave W, Bradenton, FL 34205-8820 | |
(941) 782-4150 | |
Not Available |
Full Name | Lucille Fernandez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 371 6th Ave W, Bradenton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154566859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW13639 (Florida) | Primary |
Entity Name | Centerstone Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144251638 PECOS PAC ID: 2668468596 Enrollment ID: O20040424000001 |
Mailing Address | Practice Location Address |
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Lucille Fernandez, LCSW Po Box 197515, Nashville, TN 37219-7515 Ph: () - | Lucille Fernandez, LCSW 371 6th Ave W, Bradenton, FL 34205-8820 Ph: (941) 782-4150 |
Miss Crystal Marie Le, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5203 52nd Ave W, Bradenton, FL 34210 Phone: 619-339-3644 | |
Mrs. Hostonia Segree Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Riverfront Blvd Ste 100, Bradenton, FL 34205 Phone: 866-936-5250 | |
Mr. John Louis Vertich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9114 58th Dr. E,, Ste. 110, Bradenton, FL 34202 Phone: 941-776-1777 Fax: 941-776-2812 | |
Ms. Jessica Lyn Wilde, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 439 Cortez Rd W, Bradenton, FL 34207 Phone: 941-755-7830 Fax: 941-755-5650 | |
Alessandra Mancuso, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13506 Messina Loop Unit 104, Bradenton, FL 34211 Phone: 203-499-8451 | |
Mary Pogan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3823 E State Road 64, Bradenton, FL 34208 Phone: 941-745-5111 Fax: 941-745-5667 | |
Darcy M Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3301 14th St W, Bradenton, FL 34205 Phone: 941-746-4515 |