Ruth Kimmons, LCSW | |
6736 Lunn Rd, Lakeland, FL 33811-2131 | |
(863) 397-4122 | |
Not Available |
Full Name | Ruth Kimmons |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6736 Lunn Rd, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023726502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW20196 (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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Ruth Kimmons, LCSW 6736 Lunn Rd, Lakeland, FL 33811-2131 Ph: (863) 397-4122 | Ruth Kimmons, LCSW 6736 Lunn Rd, Lakeland, FL 33811-2131 Ph: (863) 397-4122 |
Mrs. Heather Lynn Prociuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 State Road 540a, Lakeland, FL 33813 Phone: 863-608-0583 | |
Erin Walley Rivera, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5245 N Socrum Loop Rd, Lakeland, FL 33809 Phone: 863-859-1446 | |
Laura Braswell, M.DIV LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2625 Hollingsworth Hill Ave, Lakeland, FL 33803 Phone: 863-660-5243 | |
Ms. Khalilah Garrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4541 Breccia Ln, Lakeland, FL 33811 Phone: 804-564-1308 | |
Michelle Means, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 Gilmore Ave, Lakeland, FL 33805 Phone: 863-519-0575 Fax: 863-582-9251 | |
Amanda Gillespie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 S Florida Ave, Lakeland, FL 33803 Phone: 813-290-8560 |