| Dr. Quintal & Associates | |
|
9050 58th Dr E Bradenton FL 34202 | |
| (941) 907-0525 | |
| (941) 462-2968 |
| Full Name | Dr. Quintal & Associates |
|---|---|
| Speciality | Social Worker |
| Location | 9050 58th Dr E, Bradenton, Florida |
| Authorized Official Name and Position | Jason S Quintal (PRESIDENT) |
| Authorized Official Contact | 9419070525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Quintal & Associates 9050 58th Dr E Bradenton FL 34202-6104 Ph: (941) 907-0525 | Dr. Quintal & Associates 9050 58th Dr E Bradenton FL 34202 Ph: (941) 907-0525 |
| NPI Number | 1851520274 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 09/06/2018 |
| Medicare PECOS PAC ID | 4486849072 |
|---|---|
| Medicare Enrollment ID | O20101109000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851520274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6591 (Florida) | Primary |
| Provider Name | Jason S Quintal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952315533 PECOS PAC ID: 9638275761 Enrollment ID: I20101112000320 |
| Provider Name | Richard A White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649484718 PECOS PAC ID: 6800072430 Enrollment ID: I20110517000328 |
| Provider Name | Donna R Marks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194080523 PECOS PAC ID: 4688829674 Enrollment ID: I20130222000436 |
| Provider Name | Damaris Vandy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720270648 PECOS PAC ID: 3678883287 Enrollment ID: I20151111002075 |
| Provider Name | T. Michaele Michaele Mcginnis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174501084 PECOS PAC ID: 3375561517 Enrollment ID: I20180606003045 |
| Provider Name | Robert Cushing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306487491 PECOS PAC ID: 5597150367 Enrollment ID: I20220314000376 |
| Provider Name | Melia Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437858289 PECOS PAC ID: 9234590506 Enrollment ID: I20230802003525 |
| Provider Name | Lee Erik Schlanger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346866035 PECOS PAC ID: 0042660797 Enrollment ID: I20231221001909 |
| Provider Name | Christine Templeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104468628 PECOS PAC ID: 7113377870 Enrollment ID: I20231221002497 |
| Provider Name | Jeffrey Meltzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801427737 PECOS PAC ID: 8820448491 Enrollment ID: I20231221003454 |
| Provider Name | Lenny Yohana Darville |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376213066 PECOS PAC ID: 3375993959 Enrollment ID: I20231221003559 |
| Provider Name | Nicholas Jay King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063153344 PECOS PAC ID: 8123467123 Enrollment ID: I20240423001919 |
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