Mr Santricoa Nelson, LCSW | |
214 E Washington St, Apt A, Minneola, FL 34715-9227 | |
(407) 734-3338 | |
(407) 377-7517 |
Full Name | Mr Santricoa Nelson |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 214 E Washington St, Minneola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619378908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 16155 (Florida) | Primary |
171M00000X | Case Manager/care Coordinator | N425792713420 (Florida) | Secondary |
Entity Name | Moore Consulting Holdings Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285255638 PECOS PAC ID: 6103248000 Enrollment ID: O20200623001601 |
Mailing Address | Practice Location Address |
---|---|
Mr Santricoa Nelson, LCSW 4227 Worthington Pl, Mascotte, FL 34753-9742 Ph: (321) 356-4736 | Mr Santricoa Nelson, LCSW 214 E Washington St, Apt A, Minneola, FL 34715-9227 Ph: (407) 734-3338 |
Shirley Pattan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3182 Hill Point St, Minneola, FL 34715 Phone: 904-477-7436 | |
Mrs. Leslie Ann Riccaboni, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 214 E Washington Street, Suite A, Minneola, FL 34715 Phone: 352-283-2623 | |
Mrs. Christine Tuzzo Harris, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 S Main Ave, Minneola, FL 34715 Phone: 407-399-8855 Fax: 321-248-0120 | |
Mrs. Monique Griffin-gay, M.ED., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1916 Southern Oak Loop, Minneola, FL 34715 Phone: 305-360-7943 |