Melissa Sandberg, LCSW | |
2445 Lane Park Rd, Tavares, FL 32778-9648 | |
(224) 465-8263 | |
(800) 532-6989 |
Full Name | Melissa Sandberg |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2445 Lane Park Rd, Tavares, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841592284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149013236 (Illinois) | Primary |
Entity Name | Cornerstone Centers For Wellbeing, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811659634 PECOS PAC ID: 9739574880 Enrollment ID: O20220328001222 |
Mailing Address | Practice Location Address |
---|---|
Melissa Sandberg, LCSW 2445 Lane Park Rd, Tavares, FL 32778-9648 Ph: (244) 658-2632 | Melissa Sandberg, LCSW 2445 Lane Park Rd, Tavares, FL 32778-9648 Ph: (224) 465-8263 |
Marvin Leigh Smith, ISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Maud St, Tavares, FL 32778 Phone: 352-253-9348 Fax: 352-253-9351 | |
Ryan E Godwin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 S Duncan Dr, Bldg C, Tavares, FL 32778 Phone: 352-742-6170 | |
Kristen Nardolillo, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2445 Lane Park Rd, Tavares, FL 32778 Phone: 866-280-9355 Fax: 407-583-6487 | |
Sara Renee Aderholdt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1936 Salk Ave, Tavares, FL 32778 Phone: 352-363-5921 Fax: 352-589-5771 | |
Janelle Carbone-rodriguez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2445 Lane Park Rd, Tavares, FL 32778 Phone: 866-280-9355 | |
Rachel Golub, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 S Duncan Dr, Tavares, FL 32778 Phone: 352-357-1955 Fax: 352-240-1066 | |
Bruce Chester Wlosinski, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1957 Magnolia Cir, Tavares, FL 32778 Phone: 323-523-1302 |