Ms Sally Jane Fontaine, LCSW | |
1700 Education Ave, Punta Gorda, FL 33950-6222 | |
(941) 639-8300 | |
(941) 347-6493 |
Full Name | Ms Sally Jane Fontaine |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 1700 Education Ave, Punta Gorda, 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 |
---|---|---|---|
1285962811 | NPI | - | NPPES |
001937000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW6857 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charlotte Behavioral Health Care Inc | 4587649918 | 5 |
Entity Name | Charlotte Behavioral Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760460653 PECOS PAC ID: 4587649918 Enrollment ID: O20040621001195 |
Mailing Address | Practice Location Address |
---|---|
Ms Sally Jane Fontaine, LCSW 1700 Education Ave, Punta Gorda, FL 33950-6222 Ph: (941) 639-8300 | Ms Sally Jane Fontaine, LCSW 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 |