Mary F Larson, LCSW | |
2810 Whistler St, West Melbourne, FL 32904-7488 | |
(321) 506-8524 | |
Not Available |
Full Name | Mary F Larson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2810 Whistler St, West Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932368420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW 8059 (Florida) | Primary |
Entity Name | Blue Moon Senior Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205129186 PECOS PAC ID: 6103099759 Enrollment ID: O20111027000391 |
Mailing Address | Practice Location Address |
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Mary F Larson, LCSW 2810 Whistler St, West Melbourne, FL 32904-7488 Ph: (321) 506-8524 | Mary F Larson, LCSW 2810 Whistler St, West Melbourne, FL 32904-7488 Ph: (321) 506-8524 |
Candace Candace L Soliz Soliz, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4673 Academic Ln, West Melbourne, FL 32904 Phone: 707-639-6088 | |
Alyssa Buchanan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 S Wickham Rd Ste 107, West Melbourne, FL 32904 Phone: 321-608-0604 | |
Jeanne M Simpson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1131 W New Haven Ave, West Melbourne, FL 32904 Phone: 321-434-1744 | |
Lindsay Logan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 Commerce Dr, West Melbourne, FL 32904 Phone: 321-952-6000 | |
Mrs. Angie Alicia Maravi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1336 Potenza Dr, West Melbourne, FL 32904 Phone: 786-541-6070 | |
Apphia Glenn, RCSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2350 Minton Rd, West Melbourne, FL 32904 Phone: 321-426-0359 | |
Dr. Valerie Louise Dripchak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4534 Caladium Cir, West Melbourne, FL 32904 Phone: 860-538-6070 |