Ms Beth Dawn Davalos, | |
540 E Horatio Ave Ste 200, Maitland, FL 32751-7314 | |
(407) 907-2825 | |
Not Available |
Full Name | Ms Beth Dawn Davalos |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 30 Years |
Location | 540 E Horatio Ave Ste 200, Maitland, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982064234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW5646 (Florida) | Primary |
1041C0700X | Social Worker - Clinical | 114025 (Massachusetts) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beth Davalos Counseling Center Llc | 3375978414 | 19 |
Entity Name | Beth Davalos Counseling Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932760451 PECOS PAC ID: 3375978414 Enrollment ID: O20200117000046 |
Mailing Address | Practice Location Address |
---|---|
Ms Beth Dawn Davalos, 540 E Horatio Ave Ste 200, Maitland, FL 32751-7314 Ph: (407) 907-2825 | Ms Beth Dawn Davalos, 540 E Horatio Ave Ste 200, Maitland, FL 32751-7314 Ph: (407) 907-2825 |
Ms. Mamie Khamalah Lumpkin- Gordon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1009 Maitland Center Commons Blvd, #212, Maitland, FL 32751 Phone: 407-636-3532 Fax: 321-256-5292 | |
Miss Mary Allison Lambert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 955 N Orlando Ave Apt 277, Maitland, FL 32751 Phone: 407-668-8142 | |
Chiante Berry, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751 Phone: 407-493-7445 | |
Ms. Tracy Lee Earle, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd, #212, Maitland, FL 32751 Phone: 800-840-9528 Fax: 407-540-9552 | |
Ms. Anderline Bredy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Westhall Ln Ste 207, Maitland, FL 32751 Phone: 800-630-1002 | |
Stephanie Vacala, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 S Orlando Ave Ste 206, Maitland, FL 32751 Phone: 407-378-3000 | |
Ms. Frances Denise Collazo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Spartan Dr, Maitland, FL 32751 Phone: 407-331-8002 |