Mr Amin Ella Faiz, MSW, LCSW | |
400 College Dr Ste 200, Middleburg, FL 32068-8525 | |
(904) 213-2700 | |
Not Available |
Full Name | Mr Amin Ella Faiz |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 400 College Dr Ste 200, Middleburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215216684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904013524 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | DP00943879 (West Virginia) | Primary |
Entity Name | Mount Rogers Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255365599 PECOS PAC ID: 1254387475 Enrollment ID: O20050510001179 |
Mailing Address | Practice Location Address |
---|---|
Mr Amin Ella Faiz, MSW, LCSW Po Box 306, Rural Retreat, VA 24368-0306 Ph: () - | Mr Amin Ella Faiz, MSW, LCSW 400 College Dr Ste 200, Middleburg, FL 32068-8525 Ph: (904) 213-2700 |
Keishla Huertas-gonzalez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Stephanie Burkes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Avneesh Singh Arora, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 College Dr Ste 200, Middleburg, FL 32068 Phone: 904-213-2700 | |
Concetta A. Hillman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Antovise Arnice Connor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3812 Great Falls Loop, Middleburg, FL 32068 Phone: 904-910-7379 | |
Lisa Robyn Stiller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5572 |