Susan Kelly Polo, PCSW | |
100 W 20th St, Riviera Beach, FL 33404-6158 | |
(561) 775-9579 | |
(772) 220-9894 |
Full Name | Susan Kelly Polo |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 100 W 20th St, Riviera Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497252597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW11474 (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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Susan Kelly Polo, PCSW 9995 N Military Trl, Palm Beach Gardens, FL 33410-5460 Ph: (561) 775-9579 | Susan Kelly Polo, PCSW 100 W 20th St, Riviera Beach, FL 33404-6158 Ph: (561) 775-9579 |
Mrs. Sherron L. Olliff, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7305 N Military Trl, Riviera Beach, FL 33410 Phone: 561-422-6651 | |
Cordelia Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7305 N Military Trl, Riviera Beach, FL 33410 Phone: 561-422-8262 | |
James Richard Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: James Wilson, Lcsw - Sws, 7305 N Military Trl # 122, Riviera Beach, FL 33410 Phone: 561-422-5695 | |
Mindy Jan Saltzman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7289 Garden Rd, Riviera Beach, FL 33404 Phone: 561-804-7900 | |
Angela Heras, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 W 34th St Apt A, Riviera Beach, FL 33404 Phone: 561-414-9540 | |
Mr. Sebastian Bach Fastrich, LCSW, MCAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7305 N Military Trl, Riviera Beach, FL 33410 Phone: 561-422-8262 | |
Mrs. Claudia Higgins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2051 Martin Luther King Jr Blvd, Suite 101, Riviera Beach, FL 33404 Phone: 561-683-4778 |