Mr Edwin Ernesto Dilone, LCSW | |
4741 Atlantic Blvd, Jacksonville, FL 32207-1114 | |
(904) 345-0211 | |
Not Available |
Full Name | Mr Edwin Ernesto Dilone |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4741 Atlantic Blvd, 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 |
---|---|---|---|
1790323103 | NPI | - | NPPES |
SW21239 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW21239 (Florida) | Primary |
Entity Name | San Jose Therapy Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215777990 PECOS PAC ID: 2567904485 Enrollment ID: O20240606003963 |
Mailing Address | Practice Location Address |
---|---|
Mr Edwin Ernesto Dilone, LCSW 5218 Rollins Ave, Jacksonville, FL 32207-7712 Ph: (208) 519-2827 | Mr Edwin Ernesto Dilone, LCSW 4741 Atlantic Blvd, Jacksonville, FL 32207-1114 Ph: (904) 345-0211 |
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 |