Miss Nicole Madison Malmquist, MSW, LCSW | |
1749 Ne 10th Ter Ste 7, Cape Coral, FL 33909-1713 | |
(239) 000-0000 | |
Not Available |
Full Name | Miss Nicole Madison Malmquist |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1749 Ne 10th Ter Ste 7, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033455704 | NPI | - | NPPES |
171M00000X | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW13711 (Florida) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
Mailing Address | Practice Location Address |
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Miss Nicole Madison Malmquist, MSW, LCSW 1749 Ne 10th Ter Ste 7, Cape Coral, FL 33909-1713 Ph: (239) 777-2419 | Miss Nicole Madison Malmquist, MSW, LCSW 1749 Ne 10th Ter Ste 7, Cape Coral, FL 33909-1713 Ph: (239) 000-0000 |
Adam Larivee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 944 Country Club Blvd Ste 208, Cape Coral, FL 33990 Phone: 239-273-0270 | |
Ms. Jennifer Lynn Thompson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 33904 Phone: 239-223-2751 | |
Leigh Ann Drew, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 730 Sw 4th St Ste 6, Cape Coral, FL 33991 Phone: 239-877-9282 | |
Madisen Fuller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 418 Sw 47th Ter, Cape Coral, FL 33914 Phone: 239-690-6906 | |
Linda L Morrison, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4818 Coronado Pkwy, Suite 1, Cape Coral, FL 33904 Phone: 239-297-6656 | |
Karen L Magin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 804 Sw 2nd Ave, Cape Coral, FL 33991 Phone: 239-257-8729 |