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2970 University Pkwy Ste 201 Sarasota FL 34243-2401 | |
| (941) 391-1399 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 2970 University Pkwy Ste 201, Sarasota, Florida |
| Authorized Official Name and Position | Christine M Rykiel (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9413911399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2970 University Pkwy Ste 201 Sarasota FL 34243-2401 Ph: (941) 391-1399 | 2970 University Pkwy Ste 201 Sarasota FL 34243-2401 Ph: (941) 391-1399 |
| NPI Number | 1982961835 |
|---|---|
| Provider Enumeration Date | 04/17/2012 |
| Last Update Date | 03/27/2024 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 8022272947 |
|---|---|
| Medicare Enrollment ID | O20120605000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982961835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine M Rykiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457386658 PECOS PAC ID: 7810936150 Enrollment ID: I20120605000510 |
| Provider Name | Evelyn Carbonell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811088743 PECOS PAC ID: 5991097586 Enrollment ID: I20160629002189 |
| Provider Name | Debbie Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215331178 PECOS PAC ID: 4880028216 Enrollment ID: I20191218001033 |
| Provider Name | Constance Reinhard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144261744 PECOS PAC ID: 4688699432 Enrollment ID: I20200424000692 |
| Provider Name | Eileen Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730782178 PECOS PAC ID: 3173936713 Enrollment ID: I20201229000258 |
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