Miss Alicia Dionne Betancourt, LCSW | |
1030 W Patrick Cir, Daytona Beach, FL 32117-4566 | |
(386) 589-7324 | |
Not Available |
Full Name | Miss Alicia Dionne Betancourt |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1030 W Patrick Cir, Daytona 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 |
---|---|---|---|
1215663265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW20198 (Florida) | Primary |
Entity Name | Balanced Wellbeing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587 |
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 |
---|---|
Miss Alicia Dionne Betancourt, LCSW 1030 W Patrick Cir, Daytona Beach, FL 32117-4566 Ph: (386) 589-7324 | Miss Alicia Dionne Betancourt, LCSW 1030 W Patrick Cir, Daytona Beach, FL 32117-4566 Ph: (386) 589-7324 |
Karen E Bradt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 S Beach St, Suite 101 3n, Daytona Beach, FL 32114 Phone: 386-310-3646 | |
Trenton Friar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 337 Garden St, Daytona Beach, FL 32114 Phone: 386-843-0133 | |
David Shoots, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 South Beach, Daytona Beach, FL 32114 Phone: 386-747-2331 | |
Mrs. Novlett Annie Wheatle-paul, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 Red John Dr, Daytona Beach, FL 32124 Phone: 386-254-1582 | |
Ms. Mary Callahan Waikins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-323-7500 Fax: 386-323-7523 | |
Dean E Ehly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-323-7530 Fax: 386-323-7521 | |
Lora Shae Moultrie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-323-7500 |