Tracy M Riley, LCSW | |
10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256 | |
(904) 704-2527 | |
Not Available |
Full Name | Tracy M Riley |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679762553 | NPI | - | NPPES |
008697300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW 4412 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | SW9355 (Florida) | Primary |
Entity Name | Tracy Riley Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902239270 PECOS PAC ID: 9335365964 Enrollment ID: O20140717000249 |
Entity Name | Che Behavioral Health Services Of Florida, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932721206 PECOS PAC ID: 5698185775 Enrollment ID: O20201030000621 |
Mailing Address | Practice Location Address |
---|---|
Tracy M Riley, LCSW 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256-0589 Ph: (904) 704-2527 | Tracy M Riley, LCSW 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256 Ph: (904) 704-2527 |
Mrs. Amanda Kay Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5776 Saint Augustine Rd, Jacksonville, FL 32207 Phone: 904-448-4700 | |
Carol Lynne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Valley Garden Dr, Jacksonville, FL 32225 Phone: 904-673-8237 | |
Ms. Latisha M Hill, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4720 Salisbury Rd, Jacksonville, FL 32256 Phone: 904-493-6190 | |
Susan Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225 Phone: 904-565-1271 Fax: 904-645-7325 | |
Sarah Johanna Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr Ste 510, Jacksonville, FL 32207 Phone: 904-376-3800 | |
Kallyn Richardson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11478 Harlan Dr, Jacksonville, FL 32218 Phone: 734-834-0459 | |
Maria Susan Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Edgewood Ave W, Jacksonville, FL 32208 Phone: 904-301-4900 Fax: 904-924-1773 |