| Jewish Family Services Of Greater Orlando Inc | |
|
2100 Lee Rd Winter Park FL 32789-1862 | |
| (407) 644-7593 | |
| (407) 209-0289 |
| Full Name | Jewish Family Services Of Greater Orlando Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2100 Lee Rd, Winter Park, Florida |
| Authorized Official Name and Position | Phil Flynn (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 4076447593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Services Of Greater Orlando Inc 501 N Orlando Ave Ste 313 Winter Park FL 32789-7310 Ph: (407) 644-7593 | Jewish Family Services Of Greater Orlando Inc 2100 Lee Rd Winter Park FL 32789-1862 Ph: (407) 644-7593 |
| NPI Number | 1861663379 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 4880650076 |
|---|---|
| Medicare Enrollment ID | O20041209000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861663379 | NPI | - | NPPES |
| 103410500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ashlyn Elise Douglass-barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134544851 PECOS PAC ID: 5294967717 Enrollment ID: I20140416001606 |
| Provider Name | Dorrit Ram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083045017 PECOS PAC ID: 2769766278 Enrollment ID: I20170301000893 |
| Provider Name | Laurie A Hatcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285060038 PECOS PAC ID: 8224374491 Enrollment ID: I20190108003917 |
| Provider Name | Danielle A Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043855141 PECOS PAC ID: 4981038742 Enrollment ID: I20200102002345 |
| Provider Name | Tania Suietlana Gorham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669714887 PECOS PAC ID: 7315395340 Enrollment ID: I20231130002611 |
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