Victoria Michele Defalco Charland, LCSW | |
11705 Evening Walk Dr, Lakewood Ranch, FL 34211-9508 | |
(941) 423-2728 | |
Not Available |
Full Name | Victoria Michele Defalco Charland |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11705 Evening Walk Dr, Lakewood Ranch, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487062626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW8520 (Florida) | Primary |
Entity Name | Coastal Mental Health & Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679082978 PECOS PAC ID: 3971862665 Enrollment ID: O20180126000678 |
Mailing Address | Practice Location Address |
---|---|
Victoria Michele Defalco Charland, LCSW 1767 Lakewood Ranch Blvd # 315, Bradenton, FL 34211-4906 Ph: (941) 928-9774 | Victoria Michele Defalco Charland, LCSW 11705 Evening Walk Dr, Lakewood Ranch, FL 34211-9508 Ph: (941) 423-2728 |
Rashelle Cirigliano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11161 E State Road 70 Ste 110-158, Lakewood Ranch, FL 34202 Phone: 916-439-0343 | |
Ms. Sarah Elaine Zimmerman, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8470 Enterprise Cir Ste 300, Lakewood Ranch, FL 34202 Phone: 561-508-8809 | |
Lissette Fernandez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8967 White Sage Loop, Lakewood Ranch, FL 34202 Phone: 941-350-3460 | |
Katie Nicole Humphrey, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6600 University Pkwy Ste 304, Lakewood Ranch, FL 34240 Phone: 833-769-3524 | |
Robert Cushing, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9050 58th Dr E, Lakewood Ranch, FL 34202 Phone: 941-907-0525 | |
Mrs. Beatty Cynthia Cohan, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 12307 Greenbrier Way, Lakewood Ranch, FL 34202 Phone: 941-955-6116 | |
Miranda Sikorski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14930 Skip Jack Loop, Lakewood Ranch, FL 34202 Phone: 941-875-3252 |