Mrs Jessica Ashton Woolbright Clark, MSW | |
2711 W 15th St, Panama City, FL 32401-1366 | |
(850) 769-6001 | |
Not Available |
Full Name | Mrs Jessica Ashton Woolbright Clark |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2711 W 15th St, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144600818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Florida Therapy Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972548022 PECOS PAC ID: 9133022577 Enrollment ID: O20040209000800 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Ashton Woolbright Clark, MSW 2347 Hartsfield Way, Tallahassee, FL 32303-3468 Ph: (727) 674-8367 | Mrs Jessica Ashton Woolbright Clark, MSW 2711 W 15th St, Panama City, FL 32401-1366 Ph: (850) 769-6001 |
Mr. Trevor Dean Baines, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 Fax: 850-769-6003 | |
Ms. Nancy Mills, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 648 Florida Ave, Panama City, FL 32401 Phone: 850-769-6001 Fax: 850-769-6003 | |
Amanda Lee Shoemaker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1940 Harrison Ave, Panama City, FL 32405 Phone: 850-226-7893 Fax: 850-226-8081 | |
Neal Smith, LCSW, PHD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
Erin Bruner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2581 Huntcliff Ln, Panama City, FL 32405 Phone: 850-520-3321 | |
Diane Pipkin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-914-6281 | |
Catherine J Campo, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2309 E 15th St, Panama City, FL 32405 Phone: 850-747-5272 |