Maria Jose Aguerre De Sosa, | |
1645 Dunlawton Ave Apt 2712, Port Orange, FL 32127-7928 | |
(954) 404-2328 | |
Not Available |
Full Name | Maria Jose Aguerre De Sosa |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1645 Dunlawton Ave Apt 2712, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669131355 | NPI | - | NPPES |
SW16669 | Other | LICENSED CLINICAL SOCIAL WORKER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW16669 (Florida) | Primary |
Entity Name | Quality Bhs Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689297541 PECOS PAC ID: 4082030721 Enrollment ID: O20200812002561 |
Entity Name | Thriving Lane |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376122515 PECOS PAC ID: 1355741083 Enrollment ID: O20210622001225 |
Mailing Address | Practice Location Address |
---|---|
Maria Jose Aguerre De Sosa, 1645 Dunlawton Ave Apt 2712, Port Orange, FL 32127-7928 Ph: (954) 404-2328 | Maria Jose Aguerre De Sosa, 1645 Dunlawton Ave Apt 2712, Port Orange, FL 32127-7928 Ph: (954) 404-2328 |
Lisa Packard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 906 Wingate Trl, Port Orange, FL 32128 Phone: 989-262-9905 | |
Mrs. Liana Noelle Menendez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4770 S Ridgewood Ave, Port Orange, FL 32127 Phone: 386-259-8071 Fax: 386-204-8712 | |
Sue Levy, PSYD LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3959 S Nova Road, Bldg B Suite 23, Port Orange, FL 32127 Phone: 386-253-8439 Fax: 386-253-8579 | |
Mr. Michael William Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 Winding Ridge Ln, Port Orange, FL 32128 Phone: 386-304-3705 | |
Mr. Lane Edward Jennings Jr., LCSW, MCAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5765 Pendlebury Ct, Port Orange, FL 32127 Phone: 386-852-6281 | |
Vanessa Hill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129 Phone: 386-333-9717 | |
Scarlett Beckett, RCSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129 Phone: 386-333-9717 |