Tianna Marie Audet, LCSW | |
710 Oakfield Dr, Brandon, FL 33511-4938 | |
(813) 503-9783 | |
Not Available |
Full Name | Tianna Marie Audet |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 710 Oakfield Dr, Brandon, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386352094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW18834 (Florida) | Primary |
Entity Name | Life Solutions Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508345521 PECOS PAC ID: 1052656618 Enrollment ID: O20181231000973 |
Mailing Address | Practice Location Address |
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Tianna Marie Audet, LCSW 4636 Belle Chase Cir, Tampa, FL 33634-4257 Ph: (813) 503-9783 | Tianna Marie Audet, LCSW 710 Oakfield Dr, Brandon, FL 33511-4938 Ph: (813) 503-9783 |
Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Mr. Michael J Mazucci-mambala, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 510 Vonderburg Dr, Suite 301, Brandon, FL 33511 Phone: 813-881-1000 | |
Ms. Cynthia Anne Fletcher, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Ashford Dr, Brandon, FL 33511 Phone: 813-662-3441 | |
Michelle Ramirez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Karen Seales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 Lake Lucerne Way, Brandon, FL 33511 Phone: 813-219-4551 | |
Brittany Wilson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 Fax: 813-689-8802 | |
Jessie A Shaw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Oakwood Ave, Brandon, FL 33510 Phone: 813-819-8704 |