Miss Lacey Marena Langston, LCSW | |
2055 Reyko Rd Ste 100, Jacksonville, FL 32207-2822 | |
(904) 648-8200 | |
(904) 253-3270 |
Full Name | Miss Lacey Marena Langston |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2055 Reyko Rd Ste 100, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528734258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW16394 (Florida) | Primary |
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
Entity Name | Mental Health Center Of Florida Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679021414 PECOS PAC ID: 9931485117 Enrollment ID: O20170425000910 |
Entity Name | Transformative Healthcare Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477114031 PECOS PAC ID: 8921337973 Enrollment ID: O20190917001257 |
Entity Name | South Florida Mental Health Solutions Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205455672 PECOS PAC ID: 2163843830 Enrollment ID: O20200604001749 |
Mailing Address | Practice Location Address |
---|---|
Miss Lacey Marena Langston, LCSW 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 Ph: (239) 236-8784 | Miss Lacey Marena Langston, LCSW 2055 Reyko Rd Ste 100, Jacksonville, FL 32207-2822 Ph: (904) 648-8200 |
Mrs. Amanda Kay Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5776 Saint Augustine Rd, Jacksonville, FL 32207 Phone: 904-448-4700 | |
Carol Lynne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Valley Garden Dr, Jacksonville, FL 32225 Phone: 904-673-8237 | |
Ms. Latisha M Hill, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4720 Salisbury Rd, Jacksonville, FL 32256 Phone: 904-493-6190 | |
Susan Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225 Phone: 904-565-1271 Fax: 904-645-7325 | |
Sarah Johanna Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr Ste 510, Jacksonville, FL 32207 Phone: 904-376-3800 | |
Kallyn Richardson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11478 Harlan Dr, Jacksonville, FL 32218 Phone: 734-834-0459 | |
Maria Susan Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Edgewood Ave W, Jacksonville, FL 32208 Phone: 904-301-4900 Fax: 904-924-1773 |