Ms Kimberly Lockwood Rust, PHD | |
118 1/2 N. Woodland Blvd., Deland, FL 32720 | |
(862) 328-6233 | |
Not Available |
Full Name | Ms Kimberly Lockwood Rust |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 118 1/2 N. Woodland Blvd., Deland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346546132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW9860 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | 2020020501 (Missouri) | Primary |
Entity Name | Saafe Behavioral Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154757557 PECOS PAC ID: 5092943241 Enrollment ID: O20140114001404 |
Mailing Address | Practice Location Address |
---|---|
Ms Kimberly Lockwood Rust, PHD 930 N Florida Ave, Deland, FL 32720-2718 Ph: (660) 885-8131 | Ms Kimberly Lockwood Rust, PHD 118 1/2 N. Woodland Blvd., Deland, FL 32720 Ph: (862) 328-6233 |
Michelle Bradt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 E New York Ave Ste C, Deland, FL 32724 Phone: 386-407-2667 | |
Brian Shea, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 940 Woodsite Dr, Deland, FL 32720 Phone: 386-279-0408 | |
Mrs. Alissa Knight, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1160 Crescent Pkwy, Deland, FL 32724 Phone: 386-848-1786 | |
Karina Ann Ricko, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 333 W Wisconsin Ave, Deland, FL 32720 Phone: 386-734-3101 | |
Teah Michael, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1103 Lindley Cove Cir, Deland, FL 32724 Phone: 386-681-8284 | |
Ms. Wanda Esther Fuentes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 317 N Florida Ave, Deland, FL 32720 Phone: 904-701-8093 | |
Bethany Tabetha Stapinski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 N Clara Ave, Deland, FL 32720 Phone: 386-734-7190 |