Trisha S Peterson, RSWI | |
110 Sanchez Ave, Edgewater, FL 32132-1638 | |
(386) 481-4782 | |
Not Available |
Full Name | Trisha S Peterson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 110 Sanchez Ave, Edgewater, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023561883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 14521 (Florida) | Primary |
Entity Name | Sea Change Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144920711 PECOS PAC ID: 5294198297 Enrollment ID: O20230823003744 |
Mailing Address | Practice Location Address |
---|---|
Trisha S Peterson, RSWI 110 Sanchez Ave, Edgewater, FL 32132-1638 Ph: (386) 481-4782 | Trisha S Peterson, RSWI 110 Sanchez Ave, Edgewater, FL 32132-1638 Ph: (386) 481-4782 |
Meghan Budvarson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2129 Pine Tree Dr, Edgewater, FL 32141 Phone: 386-589-8161 | |
Carmen Michele Virtuoso, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2102 S Ridgewood Ave, Edgewater, FL 32141 Phone: 386-853-9100 | |
Mrs. Dorothy Irene Cast, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 Cherrywood Ln, Edgewater, FL 32132 Phone: 386-663-7031 | |
Audra Mary Willsey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3504 Rock Oak Trl, Edgewater, FL 32141 Phone: 321-287-8567 |