Nicholas Starvisky Dallas Raines, | |
7999 N Federal Hwy Ste 200, Boca Raton, FL 33487-1673 | |
(855) 284-7483 | |
(617) 807-0958 |
Full Name | Nicholas Starvisky Dallas Raines |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 7999 N Federal Hwy Ste 200, Boca Raton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023714151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW20898 (Florida) | Primary |
Entity Name | Thriveworks Clinical - Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
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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Nicholas Starvisky Dallas Raines, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483 | Nicholas Starvisky Dallas Raines, 7999 N Federal Hwy Ste 200, Boca Raton, FL 33487-1673 Ph: (855) 284-7483 |
Mrs. Ashlee Rebecca Kasten, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7000 W Palmetto Park Rd Ste 201, Boca Raton, FL 33433 Phone: 561-270-2280 | |
Jacquelyn Garetano, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7200 Camino Real Ste 201, Boca Raton, FL 33433 Phone: 561-674-0885 Fax: 561-674-0856 | |
Ms. Susan R Riskin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 21300 Coleman Blvd, Boca Raton, FL 33428 Phone: 561-852-3333 Fax: 561-852-3332 | |
Mrs. Connie Pavlik Zamora, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432 Phone: 561-400-8882 | |
Ms. Jody A Kaufman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9033 Glades Rd, Suite B, Boca Raton, FL 33434 Phone: 561-361-0500 Fax: 561-479-0384 | |
Argira Poulias, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 399 Nw Boca Raton Blvd, Suite 202, Boca Raton, FL 33432 Phone: 954-822-9793 | |
Mia Benevolenza, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21300 Ruth And Baron Coleman Blvd, Boca Raton, FL 33428 Phone: 561-852-3333 |