Melissa Kenner, LCSW, LMSW | |
1865 Lime St Ste 100, Fernandina Beach, FL 32034-4779 | |
(904) 321-8400 | |
(904) 321-8401 |
Full Name | Melissa Kenner |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1865 Lime St Ste 100, Fernandina Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295106409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | MSW007082 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | SW15141 (Florida) | Primary |
Entity Name | Physicians Group Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099 |
Entity Name | Cotler Healthcare & Development Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075 |
Mailing Address | Practice Location Address |
---|---|
Melissa Kenner, LCSW, LMSW 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Melissa Kenner, LCSW, LMSW 1865 Lime St Ste 100, Fernandina Beach, FL 32034-4779 Ph: (904) 321-8400 |
Ms. Alana Woods, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1445 Sadler Rd # 1001, Fernandina Beach, FL 32034 Phone: 850-270-7166 | |
Shelly Fulford Wilson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2127 Blue Heron Ct, Fernandina Beach, FL 32034 Phone: 904-206-1028 | |
Megan C Ienaro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Centre St Ste 114, Fernandina Beach, FL 32034 Phone: 904-321-7351 | |
Jessica Packard, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94177 Goodwood Dr, Fernandina Beach, FL 32034 Phone: 509-845-1029 | |
Mrs. Alissa Meadow Myatt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 49 Marsh Creek Rd, Fernandina Beach, FL 32034 Phone: 805-559-8889 | |
Robin Albright Norton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 96029 Brady Point Rd, Fernandina Beach, FL 32034 Phone: 410-236-3067 |