| Sunshine Senior Counseling | |
|
540 E Horatio Ave Ste 200 Maitland FL 32751-7314 | |
| (407) 907-2825 | |
| Not Available |
| Full Name | Sunshine Senior Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 540 E Horatio Ave Ste 200, Maitland, Florida |
| Authorized Official Name and Position | Beth Dawn Davalos (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4074019020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Senior Counseling 2725 Eastern Pkwy Winter Park FL 32789-6601 Ph: (407) 620-0869 | Sunshine Senior Counseling 540 E Horatio Ave Ste 200 Maitland FL 32751-7314 Ph: (407) 907-2825 |
| NPI Number | 1932760451 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 3375978414 |
|---|---|
| Medicare Enrollment ID | O20200117000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932760451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah Ann Whitehair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922595578 PECOS PAC ID: 2860458403 Enrollment ID: I20041206000978 |
| Provider Name | Lori Kyriacou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275758476 PECOS PAC ID: 3678664869 Enrollment ID: I20070801000826 |
| Provider Name | Alana D Nelson-patnaude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730102880 PECOS PAC ID: 7810067063 Enrollment ID: I20080530000697 |
| Provider Name | Danielle L Musteffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457632366 PECOS PAC ID: 9931373743 Enrollment ID: I20111114000109 |
| Provider Name | Diana L Foltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952639346 PECOS PAC ID: 2062679921 Enrollment ID: I20120203000315 |
| Provider Name | Edward W Clewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205102084 PECOS PAC ID: 2062676851 Enrollment ID: I20120606000683 |
| Provider Name | Cynthia L Quinton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770850588 PECOS PAC ID: 2365606852 Enrollment ID: I20120613000442 |
| Provider Name | Gabrielle Ann Buettow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255349106 PECOS PAC ID: 7416194659 Enrollment ID: I20130508000135 |
| Provider Name | Katie D Bridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356755649 PECOS PAC ID: 1153548177 Enrollment ID: I20140814000601 |
| Provider Name | Nancy E Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902125685 PECOS PAC ID: 4587983770 Enrollment ID: I20150511001493 |
| Provider Name | Melvin H Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881031516 PECOS PAC ID: 6709176316 Enrollment ID: I20160609000484 |
| Provider Name | Mary Beth Patricia Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013488964 PECOS PAC ID: 9032458690 Enrollment ID: I20190227000744 |
| Provider Name | Beth D Davalos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982064234 PECOS PAC ID: 9638504772 Enrollment ID: I20200122002385 |
| Provider Name | Jennifer Noto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326313289 PECOS PAC ID: 6800155144 Enrollment ID: I20200416001239 |
| Provider Name | Patricia S Genao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265614846 PECOS PAC ID: 5991135121 Enrollment ID: I20200430001095 |
| Provider Name | Katrina Forman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447538269 PECOS PAC ID: 1658785233 Enrollment ID: I20210121001896 |
| Provider Name | Dylan L Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982071387 PECOS PAC ID: 6002216017 Enrollment ID: I20210614001116 |
| Provider Name | Sheryl Ann Lerner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508418187 PECOS PAC ID: 8820994114 Enrollment ID: I20210719001510 |
| Provider Name | Marisol Alcibar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114522216 PECOS PAC ID: 6305238031 Enrollment ID: I20220110000858 |
| Provider Name | Calix O Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255736609 PECOS PAC ID: 3870810286 Enrollment ID: I20220330000602 |
| Provider Name | Lisa M Raigeluw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952069379 PECOS PAC ID: 2466835236 Enrollment ID: I20220811003966 |
| Provider Name | Rebekah Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932351756 PECOS PAC ID: 5092031849 Enrollment ID: I20220922001420 |
| Provider Name | Anita Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205265543 PECOS PAC ID: 7113394750 Enrollment ID: I20221110001481 |
| Provider Name | Christine P Boido |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194319376 PECOS PAC ID: 7911363692 Enrollment ID: I20230523001007 |
| Provider Name | Carolyn I Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588890677 PECOS PAC ID: 3577915073 Enrollment ID: I20240119004077 |
| Provider Name | Jodee A Pineau-chaisson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477848075 PECOS PAC ID: 9537512736 Enrollment ID: I20240124001031 |
| Provider Name | Elizabeth S Wigle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376013680 PECOS PAC ID: 1759721418 Enrollment ID: I20240429000283 |
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