Patricia Jennie Crandall, LCSW | |
107 Dr Martin Luther King Jr Ave Ste 1, Inverness, FL 34450-4300 | |
(800) 539-4228 | |
(352) 565-4131 |
Full Name | Patricia Jennie Crandall |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 107 Dr Martin Luther King Jr Ave Ste 1, Inverness, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568903003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW14253 (Florida) | Primary |
Entity Name | Sma Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356329163 PECOS PAC ID: 0244226363 Enrollment ID: O20040423000483 |
Mailing Address | Practice Location Address |
---|---|
Patricia Jennie Crandall, LCSW 150 Magnolia Ave, Daytona Beach, FL 32114-4304 Ph: (386) 236-3225 | Patricia Jennie Crandall, LCSW 107 Dr Martin Luther King Jr Ave Ste 1, Inverness, FL 34450-4300 Ph: (800) 539-4228 |
Miss Jennifer Rose Grillo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1388 S Border Ave, Inverness, FL 34452 Phone: 352-697-1707 | |
Ms. Deborah Mary Nordstrom, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 300, Inverness, FL 34450 Phone: 352-476-3164 | |
Martha M Phelps, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1127 Sterling Rd, Inverness, FL 34450 Phone: 352-637-0605 Fax: 352-637-0706 | |
Diane H. Phinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 815 Hemlock St, Inverness, FL 34452 Phone: 352-341-3435 Fax: 352-291-9536 | |
Kerry Krantz, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 S Apopka Ave, Inverness, FL 34452 Phone: 352-560-7027 | |
Phyllina Sunshine Arnold, MSW, ISW6692 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3481 S Winding Path, Inverness, FL 34450 Phone: 352-476-4023 |