| Carla Vega Blouin, LCSW | |
|
6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622 | |
| (352) 332-3900 | |
| (352) 332-5009 |
| Full Name | Carla Vega Blouin |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6420 W Newberry Rd Ste 100, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023300852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW12395 (Florida) | Primary |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Vega Blouin, LCSW Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Carla Vega Blouin, LCSW 6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622 Ph: (352) 332-3900 |
Mrs. Joanne Block, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4131 Nw 28th Ln, Suite 6, Gainesville, FL 32606 Phone: 352-375-3001 Fax: 352-375-1003 | |
Ms. Cathy Jeanne Price, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 | |
Charnette Merritt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Jakira L Harris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 | |
Amanda Cruce, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3031 Nw 161st Ct, Gainesville, FL 32609 Phone: 352-214-6300 | |
Thomas W Brady, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-293-6612 | |
Sarah Lynn Bushnell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9200 Nw 39th Ave Ste 130-3088, Gainesville, FL 32606 Phone: 352-316-7723 |