Phillip Stafford, LCSW | |
3080 Royal Oak Dr, Titusville, FL 32780-4815 | |
(407) 435-2907 | |
Not Available |
Full Name | Phillip Stafford |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3080 Royal Oak Dr, Titusville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497809040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 17762 (Florida) | Primary |
Entity Name | Che Senior Psychological Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429 |
Entity Name | Psychological Health Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760 |
Mailing Address | Practice Location Address |
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Phillip Stafford, LCSW 3080 Royal Oak Dr, Titusville, FL 32780-4815 Ph: (407) 435-2907 | Phillip Stafford, LCSW 3080 Royal Oak Dr, Titusville, FL 32780-4815 Ph: (407) 435-2907 |
Jennifer Simmons, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Grumman Pl Ste B, Titusville, FL 32780 Phone: 321-269-4240 | |
Melinda M Macdade, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 E Towne Pl, Titusville, FL 32796 Phone: 407-259-0960 | |
Susanne Cortes-morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 951 N Washington Ave, Titusville, FL 32796 Phone: 321-268-6111 Fax: 321-268-6205 | |
Mrs. Sheree Hill, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 727 Peachtree St, Titusville, FL 32780 Phone: 386-871-5725 | |
Miss Katie Louise De Witt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 Arbor Ridge Ln, Titusville, FL 32780 Phone: 321-704-5408 | |
Natalie Hanna, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1850 S Deleon Ave, Titusville, FL 32780 Phone: 321-504-8865 | |
Mrs. Kimberly Dawn Oliver, B.S.W, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4475 S Hopkins Ave, Titusville, FL 32780 Phone: 321-269-6555 Fax: 321-268-5347 |