Mrs Vanda Theophin-michel, LCSW | |
21033 Pine Knot Ln, Land O Lakes, FL 34637-7827 | |
(919) 339-8611 | |
(919) 400-4210 |
Full Name | Mrs Vanda Theophin-michel |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 21033 Pine Knot Ln, Land O Lakes, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487787610 | NPI | - | NPPES |
6007310 | Medicaid | NC | |
768216600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C006199 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | SW8537 (Florida) | Primary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Mrs Vanda Theophin-michel, LCSW 21033 Pine Knot Ln, Land O Lakes, FL 34637-7827 Ph: (919) 339-8611 | Mrs Vanda Theophin-michel, LCSW 21033 Pine Knot Ln, Land O Lakes, FL 34637-7827 Ph: (919) 339-8611 |
Mr. Christopher Simmons, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17838 Glenapp Drive, Land O Lakes, FL 34638 Phone: 813-843-5452 | |
Scott William Leu, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7227 Land O Lakes Blvd, Land O Lakes, FL 34638 Phone: 813-794-2366 | |
Sharon Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4415 Mount Bandon Dr, Land O Lakes, FL 34638 Phone: 646-279-7942 | |
Kara Anne Gans-page, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9052 Lost Mill Dr, Land O Lakes, FL 34638 Phone: 724-255-9337 | |
Alison Nocturne, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25229 Beechwood Dr, Land O Lakes, FL 34639 Phone: 813-702-1773 | |
Melanie Lea Danielson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22436 Southshore Dr, Land O Lakes, FL 34639 Phone: 304-654-7557 | |
Taylor Alaine Mihocik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2380 Tapestry Park Dr Apt 301, Land O Lakes, FL 34639 Phone: 352-209-6533 |