| Brian Shea, LCSW | |
|
740 Dunlawton Ave, Port Orange, FL 32127-4239 | |
| (386) 763-1000 | |
| Not Available |
| Full Name | Brian Shea |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 740 Dunlawton Ave, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023628807 | NPI | - | NPPES |
| SW13450 | Other | FL | FLORIDALCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW13450 (Florida) | Primary |
| Entity Name | Florida Health Care Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Shea, LCSW 740 Dunlawton Ave, Port Orange, FL 32127-4239 Ph: (386) 763-1000 | Brian Shea, LCSW 740 Dunlawton Ave, Port Orange, FL 32127-4239 Ph: (386) 763-1000 |
Lisa Packard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 906 Wingate Trl, Port Orange, FL 32128 Phone: 989-262-9905 | |
Mrs. Liana Noelle Menendez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4770 S Ridgewood Ave, Port Orange, FL 32127 Phone: 386-259-8071 Fax: 386-204-8712 | |
Sue Levy, PSYD LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3959 S Nova Road, Bldg B Suite 23, Port Orange, FL 32127 Phone: 386-253-8439 Fax: 386-253-8579 | |
Mr. Michael William Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 Winding Ridge Ln, Port Orange, FL 32128 Phone: 386-304-3705 | |
Mr. Lane Edward Jennings Jr., LCSW, MCAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5765 Pendlebury Ct, Port Orange, FL 32127 Phone: 386-852-6281 | |
Sarah Ryan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4247 Mayfair Ln, Port Orange, FL 32129 Phone: 386-451-4734 |