Luris Coll Rivera, MSW, LCSW | |
6 W Park Ave Unit 1363, Lake Wales, FL 33859-6257 | |
(313) 583-9144 | |
Not Available |
Full Name | Luris Coll Rivera |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6 W Park Ave Unit 1363, Lake Wales, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659663326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
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Luris Coll Rivera, MSW, LCSW Po Box 1363, Lake Wales, FL 33859-1363 Ph: () - | Luris Coll Rivera, MSW, LCSW 6 W Park Ave Unit 1363, Lake Wales, FL 33859-6257 Ph: (313) 583-9144 |
Colette Braunstein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 749 State Road 60 E, Lake Wales, FL 33853 Phone: 863-676-3136 Fax: 863-678-0263 | |
Rita Ryan Ryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Burns Ave, Lake Wales, FL 33853 Phone: 863-679-3338 Fax: 863-298-0299 | |
Ms. Stephanie Ann Tillman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 Chamberlain Loop, Lake Wales, FL 33853 Phone: 863-528-0402 | |
Ms. Victoria De Lissovoy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1109 Bryn Mawr Ave, Lake Wales, FL 33853 Phone: 863-605-1865 | |
Ms. Charlene G Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 929 Carlton Ave, Lake Wales, FL 33853 Phone: 863-676-9231 |