Ms Wanda Esther Fuentes, LCSW | |
317 N Florida Ave, Deland, FL 32720-3483 | |
(904) 701-8093 | |
Not Available |
Full Name | Ms Wanda Esther Fuentes |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 317 N Florida Ave, 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 |
---|---|---|---|
1053155226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW21074 (Florida) | Primary |
Entity Name | Solid Ground Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356081988 PECOS PAC ID: 8527445170 Enrollment ID: O20220519002166 |
Mailing Address | Practice Location Address |
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Ms Wanda Esther Fuentes, LCSW 317 N Florida Ave, Deland, FL 32720-3483 Ph: (904) 701-8093 | Ms Wanda Esther Fuentes, LCSW 317 N Florida Ave, Deland, FL 32720-3483 Ph: (904) 701-8093 |
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 | |
Jessica Dimaria, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E New York Ave Ste B, Deland, FL 32724 Phone: 386-738-5543 Fax: 386-734-8330 |