Mrs Jacquelin Da Hora, LISW-CP | |
3733 W Flagler St, Coral Gables, FL 33134-1601 | |
(305) 774-3400 | |
Not Available |
Full Name | Mrs Jacquelin Da Hora |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3733 W Flagler St, Coral Gables, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992298202 | NPI | - | NPPES |
1760596480 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12822 (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | SW13811 (Florida) | Primary |
Entity Name | Banyan Community Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104247188 PECOS PAC ID: 0547410011 Enrollment ID: O20121017000910 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jacquelin Da Hora, LISW-CP 6100 Blue Lagoon Dr Ste 400, Miami, FL 33126-2080 Ph: (305) 398-6100 | Mrs Jacquelin Da Hora, LISW-CP 3733 W Flagler St, Coral Gables, FL 33134-1601 Ph: (305) 774-3400 |
Oylime Fernandez, LCSW, MSW, MBA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2150 Coral Way Fl 8, Coral Gables, FL 33145 Phone: 305-856-8940 Fax: 305-456-3797 | |
Ms. Ana C. Firmat, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Majorca Ave, Coral Gables, FL 33134 Phone: 305-827-2620 | |
Mr. Vicente Yanez Sr., SW 4132 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 814 Ponce De Leon Blvd, Suite # 418, Coral Gables, FL 33134 Phone: 305-469-1648 Fax: 305-442-1018 | |
Marta Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3081 Salzedo St, Coral Gables, FL 33134 Phone: 305-662-2686 | |
Mrs. Molli Weinstein Robbins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1514 San Ignacio Ave Ste 250, Coral Gables, FL 33146 Phone: 305-669-9834 Fax: 305-255-5209 | |
Carina Oltmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 Madruga Ave Ste 313, Coral Gables, FL 33146 Phone: 917-613-6650 | |
Suzanne Schumer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1320 S Dixie Hwy, Suite 1140, Coral Gables, FL 33146 Phone: 305-668-9000 Fax: 305-662-1788 |