Mrs Tracey Nicole Waite, LCSW | |
725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | |
(863) 494-1242 | |
Not Available |
Full Name | Mrs Tracey Nicole Waite |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 725 N 12th Ave Bldg B, Arcadia, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053507020 | NPI | - | NPPES |
SW 8162 | Other | FL | LCSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW 8162 (Florida) | Primary |
Entity Name | Mcr Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
Entity Name | Dna Comprehensive Therapy Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracey Nicole Waite, LCSW 1355 S International Pkwy, Ste 1481, Lake Mary, FL 32746-1694 Ph: (407) 559-7011 | Mrs Tracey Nicole Waite, LCSW 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 Ph: (863) 494-1242 |
Mrs. Mirna Alejandra Velasquez, LCSW, CTS Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Regina M Schau, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 E Gibson St, Arcadia, FL 34266 Phone: 863-494-6222 Fax: 941-708-8893 | |
Ms. Michelle Paisley, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Karla A Mason, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Ms. Noeline Jean-marie Coore, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Clare Sophia Walter, M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 |