| Mr Scott Thomas Bleakley, LCSW | |
|
1530 Celebration Blvd Ste 405, Celebration, FL 34747-5165 | |
| (833) 769-3524 | |
| Not Available |
| Full Name | Mr Scott Thomas Bleakley |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 27 Years |
| Location | 1530 Celebration Blvd Ste 405, Celebration, 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 |
|---|---|---|---|
| 1013072008 | NPI | - | NPPES |
| 30423171 | Medicaid | NH | |
| P08033 | Other | MA | BCBS |
| 144001431NH02 | Other | NH | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW21441 (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | 1071 (New Hampshire) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Personal Recovery Network Llc | 5092611384 | 453 |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| 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 |
|---|---|
| Mr Scott Thomas Bleakley, LCSW 1530 Celebration Blvd Ste 405, Celebration, FL 34747-5165 Ph: (833) 769-3524 | Mr Scott Thomas Bleakley, LCSW 1530 Celebration Blvd Ste 405, Celebration, FL 34747-5165 Ph: (833) 769-3524 |
Daniel F Mawhinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1530 Celebration Blvd Ste 405, Celebration, FL 34747 Phone: 833-769-3524 Fax: 321-233-9959 | |
Mrs. Elizabeth Missey Boykin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1587 Resolute St, Celebration, FL 34747 Phone: 919-945-6023 |