Mrs Mary Mauck, LCSW | |
5400 Amusement Ave, Fort Pierce, FL 34947-5315 | |
(540) 931-8033 | |
Not Available |
Full Name | Mrs Mary Mauck |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5400 Amusement Ave, Fort Pierce, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598454142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW21265 (Florida) | Primary |
1041C0700X | Social Worker - Clinical | 0904014638 (Virginia) | Secondary |
Entity Name | Brave Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688 |
Mailing Address | Practice Location Address |
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Mrs Mary Mauck, LCSW 5400 Amusement Ave, Fort Pierce, FL 34947-5315 Ph: (540) 931-8033 | Mrs Mary Mauck, LCSW 5400 Amusement Ave, Fort Pierce, FL 34947-5315 Ph: (540) 931-8033 |
Ms. Ida Marlene Pharr, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7008 Ocala Ave, Fort Pierce, FL 34951 Phone: 772-466-7734 | |
Ms. Wyndi Rene Wright, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 N 2nd St, Fort Pierce, FL 34950 Phone: 772-595-3773 Fax: 772-293-0210 | |
Vanessa Richardson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Po Box 13481, Fort Pierce, FL 34979 Phone: 561-352-0877 | |
Dr. Mia Yvette Hall, DMFT & LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 N 2nd St, Suite301, Fort Pierce, FL 34950 Phone: 772-595-3773 Fax: 772-464-0087 | |
Elaine Marie Dohmen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982 Phone: 772-221-8585 Fax: 772-221-8371 | |
Romide Dorsaint, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2011 S 25th St Ste 108, Fort Pierce, FL 34947 Phone: 772-242-1079 Fax: 772-242-1696 | |
Roberta Berman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982 Phone: 772-489-4726 |