| Dylan Stovall, LCSW | |
|
247 S 20th St, Defuniak Springs, FL 32435-2201 | |
| (850) 842-6573 | |
| Not Available |
| Full Name | Dylan Stovall |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 247 S 20th St, Defuniak Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306591375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW14023 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW20407 (Florida) | Primary |
| Entity Name | Escambia Community Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518971597 PECOS PAC ID: 9638165806 Enrollment ID: O20040422001135 |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan Stovall, LCSW 247 S 20th St, Defuniak Springs, FL 32435-2201 Ph: (850) 842-6573 | Dylan Stovall, LCSW 247 S 20th St, Defuniak Springs, FL 32435-2201 Ph: (850) 842-6573 |
Katie Weeks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3686 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-892-8045 | |
Ms. Sandra Lee Maupin, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3686 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-892-8035 Fax: 850-892-8074 | |
Molly B Fulmer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3686 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-892-8045 Fax: 850-892-8039 | |
Mrs. Rachel Rodgers Gillis, LCSW BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3686 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-892-8045 Fax: 850-892-8039 | |
Sarah Jean Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1521 Hinote Rd, Defuniak Springs, FL 32433 Phone: 850-376-1468 |