| Mrs Gwendolen Haydon Davis, LCSW | |
|
305 Kingsley Lake Dr, Suite 702, St Augustine, FL 32092-3045 | |
| (904) 716-5619 | |
| Not Available |
| Full Name | Mrs Gwendolen Haydon Davis |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 305 Kingsley Lake Dr, St Augustine, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043360639 | NPI | - | NPPES |
| Z074E | Other | FL | BCBS OUT OF NETWORK PROV |
| 277216 | Other | FL | MHN |
| 061642215 | Other | FL | INIDIVDUAL TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7677 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gwendolen Haydon Davis, LCSW 1208 S Kyle Way, St Johns, FL 32259-1928 Ph: (904) 716-5619 | Mrs Gwendolen Haydon Davis, LCSW 305 Kingsley Lake Dr, Suite 702, St Augustine, FL 32092-3045 Ph: (904) 716-5619 |
Denise Mershon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1880 San Sebastian Vw, St Augustine, FL 32084 Phone: 800-539-4228 | |
Mrs. Alyssa A Thaxton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 485 Aventurine Ave, St Augustine, FL 32086 Phone: 706-917-9212 | |
Alicia Busic, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Kingsley Lake Dr Ste 702, St Augustine, FL 32092 Phone: 405-397-1617 | |
Mr. Michael John Meehan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9 Saint Johns Medical Pk Dr, St Augustine, FL 32086 Phone: 904-797-2705 Fax: 904-797-2820 | |
Mrs. Vivian Juvan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2120 Us 1 S, Suite 104, St Augustine, FL 32086 Phone: 904-304-5282 | |
Ashton Timmons, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 362 Varella Ave, St Augustine, FL 32084 Phone: 941-544-0240 |