Mr Charles Mark Preuett, LCSW | |
421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | |
(813) 401-6148 | |
Not Available |
Full Name | Mr Charles Mark Preuett |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 26 Years |
Location | 421 Lithia Pinecrest Rd, Brandon, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194702845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW 9012 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brandon Mental Health | 8527136977 | 12 |
Entity Name | Brandon Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649421389 PECOS PAC ID: 8527136977 Enrollment ID: O20081013000083 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Mark Preuett, LCSW 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 Ph: (813) 401-6148 | Mr Charles Mark Preuett, LCSW 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 Ph: (813) 401-6148 |
Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Mr. Michael J Mazucci-mambala, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 510 Vonderburg Dr, Suite 301, Brandon, FL 33511 Phone: 813-881-1000 | |
Ms. Cynthia Anne Fletcher, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Ashford Dr, Brandon, FL 33511 Phone: 813-662-3441 | |
Michelle Ramirez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Karen Seales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 Lake Lucerne Way, Brandon, FL 33511 Phone: 813-219-4551 | |
Brittany Wilson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 Fax: 813-689-8802 | |
Jessie A Shaw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Oakwood Ave, Brandon, FL 33510 Phone: 813-819-8704 |