| Diane K Brantley, LCSW | |
|
1601 Sw Archer Rd, Gainesville, FL 32608-1197 | |
| (352) 548-6000 | |
| Not Available |
| Full Name | Diane K Brantley |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 25 Years |
| Location | 1601 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366451874 | NPI | - | NPPES |
| 768315400 | Medicaid | FL | |
| U5996Y | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW 7796 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Samaritan Counseling Services Of The Gulf Coast Inc | 1456314343 | 11 |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| Entity Name | Samaritan Counseling Services Of The Gulf Coast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619993011 PECOS PAC ID: 1456314343 Enrollment ID: O20041111000271 |
| Entity Name | Refresh Canopy Cove, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane K Brantley, LCSW 1601 Sw Archer Rd, Gainesville, FL 32608-1197 Ph: (352) 548-6000 | Diane K Brantley, LCSW 1601 Sw Archer Rd, Gainesville, FL 32608-1197 Ph: (352) 548-6000 |
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 |