| Dominique Jalisia Mickler, LCSW | |
|
360 Central Ave Ste 1230, St Petersburg, FL 33701-3865 | |
| (172) 756-5242 | |
| Not Available |
| Full Name | Dominique Jalisia Mickler |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 360 Central Ave Ste 1230, St Petersburg, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710741343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW22641 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Jalisia Mickler, LCSW 706 12th St E, Bradenton, FL 34208-2120 Ph: (941) 920-8436 | Dominique Jalisia Mickler, LCSW 360 Central Ave Ste 1230, St Petersburg, FL 33701-3865 Ph: (172) 756-5242 |
Daniele Herrmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Carillon Pkwy, St Petersburg, FL 33716 Phone: 800-662-9508 | |
Nancy Rae Russell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6737 1st Ave S, St Petersburg, FL 33707 Phone: 727-341-1000 Fax: 727-341-1000 | |
William Jason Vejcik, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 855 Central Ave Unit 1114, St Petersburg, FL 33701 Phone: 313-400-7875 | |
Jomon John Thekkethottiyil, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4024 Central Ave, St Petersburg, FL 33711 Phone: 727-327-7656 | |
Melissa Davidson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702 Phone: 786-246-2732 | |
Erin St John, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1001 16th St S, St Petersburg, FL 33705 Phone: 727-327-7656 Fax: 727-322-2130 | |
Eileen Stoner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4024 Central Ave, St Petersburg, FL 33711 Phone: 727-327-7656 Fax: 727-388-1192 |