Tracy Ann Hogan, LCSW | |
12017 Sw Bennington Cir, Port St Lucie, FL 34987-2723 | |
(772) 345-2223 | |
Not Available |
Full Name | Tracy Ann Hogan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 12017 Sw Bennington Cir, Port St Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730746108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW5377 (Florida) | Primary |
Entity Name | Philip Solomon & Assoc Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881731941 PECOS PAC ID: 8123105897 Enrollment ID: O20160913000368 |
Entity Name | Change Of Mind Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811443195 PECOS PAC ID: 4284971672 Enrollment ID: O20190123001743 |
Mailing Address | Practice Location Address |
---|---|
Tracy Ann Hogan, LCSW 12017 Sw Bennington Cir, Port St Lucie, FL 34987-2723 Ph: (772) 345-2223 | Tracy Ann Hogan, LCSW 12017 Sw Bennington Cir, Port St Lucie, FL 34987-2723 Ph: (772) 345-2223 |
Nicole Romans, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1680 Se Lyngate Dr, Suite 201, Port St Lucie, FL 34952 Phone: 772-335-9808 | |
Martin D Tejada, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5250 Nw Mayfield Ln, Port St Lucie, FL 34983 Phone: 772-343-0284 | |
Mrs. Rebecca Jane Peeler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 608 Se Walters Ter, Port St Lucie, FL 34983 Phone: 772-284-9123 | |
Cynthia Christopherson, L.C.S.W; B.C.A.B.A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986 Phone: 772-708-9711 Fax: 772-785-8716 | |
Chloe Jean, MD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-3623 | |
Sarah Amy Mitchell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2014 Sw Trenton Ln, Port St Lucie, FL 34984 Phone: 904-392-8865 | |
Judith Evans, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3990 Sw Brunswick St, Port St Lucie, FL 34953 Phone: 772-284-0042 |