| Carmen A Reyes, LCSW | |
|
137 Cataldo Way, Groveland, FL 34736-8210 | |
| (609) 332-5213 | |
| (352) 557-8028 |
| Full Name | Carmen A Reyes |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 137 Cataldo Way, Groveland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326193749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05192800 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW 11806 (Florida) | Primary |
| 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 |
|---|---|
| Carmen A Reyes, LCSW 137 Cataldo Way, Groveland, FL 34736-8210 Ph: (609) 332-5213 | Carmen A Reyes, LCSW 137 Cataldo Way, Groveland, FL 34736-8210 Ph: (609) 332-5213 |
Michael Medlin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6629 Lake Erie Rd, Groveland, FL 34736 Phone: 850-727-2329 | |
Belle Marie Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15385 Lee Rd, Groveland, FL 34736 Phone: 850-843-1321 | |
Angelina Elizabeth Ross, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 591 Blue Cypress Dr, Groveland, FL 34736 Phone: 908-217-8440 | |
Ms. Jywantie Devi Ramautar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Juno Dr, Groveland, FL 34736 Phone: 646-603-7721 |