Nathan Macolly, LCSW, QS | |
205 N Rhodes St, Monticello, FL 32344-2558 | |
(865) 206-2899 | |
Not Available |
Full Name | Nathan Macolly |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 205 N Rhodes St, Monticello, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245841949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW15706 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | 15706 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
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Nathan Macolly, LCSW, QS 205 N Rhodes St, Monticello, FL 32344-2558 Ph: (865) 206-2899 | Nathan Macolly, LCSW, QS 205 N Rhodes St, Monticello, FL 32344-2558 Ph: (865) 206-2899 |
Karen Richards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19866 South Jefferson, Monticello, FL 32344 Phone: 850-997-3958 | |
Kortney Clinton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 87 Lloyd Subdivision Rd, Monticello, FL 32344 Phone: 850-296-2493 | |
Ms. Ellen Hamilton, L. C. S. W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5877 North Salt Road, Monticello, FL 32344 Phone: 850-997-7275 |