Ms Jenner Dean, | |
1106 Druid Rd S, Clearwater, FL 33756-3846 | |
(727) 584-6266 | |
Not Available |
Full Name | Ms Jenner Dean |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1106 Druid Rd S, Clearwater, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538593066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW14122 (Florida) | Primary |
Entity Name | Conviva Medical Center Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
Mailing Address | Practice Location Address |
---|---|
Ms Jenner Dean, 13932 Crater Cir, Hudson, FL 34669-1182 Ph: (727) 401-0056 | Ms Jenner Dean, 1106 Druid Rd S, Clearwater, FL 33756-3846 Ph: (727) 584-6266 |
Carolyn Ann Johnson, LCSW, CEAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1106 Druid Rd S, Suite 201, Clearwater, FL 33756 Phone: 727-854-6266 Fax: 727-581-1575 | |
Paula J Fischbach, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5771 Roosevelt Blvd, Clearwater, FL 33760 Phone: 727-586-4432 Fax: 727-523-3342 | |
Melissa Pierce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2655 State Road 580, Suite 202, Clearwater, FL 33761 Phone: 727-733-6111 Fax: 727-733-6002 | |
Ryann Lynn Stewart Kuchle, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5771 Roosevelt Blvd, Clearwater, FL 33760 Phone: 727-642-4222 Fax: 727-523-2359 | |
Jamie Joerres, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14041 Icot Blvd, Clearwater, FL 33760 Phone: 727-479-1800 | |
Miss Chivon Tanara Cowart, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2936 Drew St Apt 1314, Clearwater, FL 33759 Phone: 727-483-2283 | |
Brooke Lovekamp, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2622 Flournoy Cir S Apt 2318, Clearwater, FL 33764 Phone: 217-408-6020 |