Ms Jessica Lynne Nickola, | |
1700 Education Ave, Punta Gorda, FL 33950-6222 | |
(941) 639-8300 | |
(941) 639-6831 |
Full Name | Ms Jessica Lynne Nickola |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1700 Education Ave, Punta Gorda, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790092112 | NPI | - | NPPES |
020009600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW14152 (Florida) | Primary |
1041C0700X | Social Worker - Clinical | 6801090619 (Michigan) | Secondary |
Entity Name | Health Nexus Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881161164 PECOS PAC ID: 4082036108 Enrollment ID: O20200618002212 |
Mailing Address | Practice Location Address |
---|---|
Ms Jessica Lynne Nickola, 1700 Education Ave, Punta Gorda, FL 33950-6222 Ph: (941) 639-8300 | Ms Jessica Lynne Nickola, 1700 Education Ave, Punta Gorda, FL 33950-6222 Ph: (941) 639-8300 |
Amy Louise Houser, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26559 Barraquilla Avenue, Punta Gorda, FL 33983 Phone: 941-893-7917 | |
Ms. Margaret M Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 Tamiami Trail, Punta Gorda, FL 33950 Phone: 631-298-8034 | |
Audrey Jean Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1700 Education Ave, Punta Gorda, FL 33950 Phone: 941-639-8300 Fax: 941-347-6493 | |
Gilbert Neal Kaufman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 26392 Explorer Rd, Punta Gorda, FL 33983 Phone: 941-979-9701 | |
Amanda Wood, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1700 Education Ave, Punta Gorda, FL 33950 Phone: 941-941-8300 Fax: 941-347-6493 | |
Zady Garcia-luis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 Education Ave, Punta Gorda, FL 33950 Phone: 941-639-8300 | |
Mr. A Perrin Peterson, ACSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27192 San Marino Dr, Punta Gorda, FL 33983 Phone: 941-626-8363 |