Nathalie Austion-ivory, LCSW | |
2020 Talley Rd, Leesburg, FL 34748-3426 | |
(352) 315-7800 | |
(352) 360-6582 |
Full Name | Nathalie Austion-ivory |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2020 Talley Rd, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245392422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW 6266 (Florida) | Primary |
Entity Name | Actions 4 Life |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053582080 PECOS PAC ID: 8123189867 Enrollment ID: O20081212000468 |
Mailing Address | Practice Location Address |
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Nathalie Austion-ivory, LCSW 6629 Love Ln, Leesburg, FL 34748-9510 Ph: (352) 315-7500 | Nathalie Austion-ivory, LCSW 2020 Talley Rd, Leesburg, FL 34748-3426 Ph: (352) 315-7800 |
Dolores Degiacomo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2129 Aitkin Loop, Leesburg, FL 34748 Phone: 917-270-7027 | |
Mr. Robert Loy Campbell Jr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 711 W Main St, Leesburg, FL 34748 Phone: 352-435-4000 Fax: 352-435-4015 | |
Mrs. Carolyn Mae Dower, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 33057 Professional Dr, #102, Leesburg, FL 34788 Phone: 352-787-0081 Fax: 352-314-9444 | |
Joellen Revell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 W Main St, Leesburg, FL 34748 Phone: 352-315-7500 | |
Terrence Manuel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 | |
Robert M Zipperer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1313 Wren Avenue, Leesburg, FL 34748 Phone: 352-551-8425 |