| Glenn Evans, | |
|
101 E Maud St, Tavares, FL 32778-3249 | |
| (352) 253-9348 | |
| Not Available |
| Full Name | Glenn Evans |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 23 Years |
| Location | 101 E Maud St, Tavares, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487597092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW14503 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Counseling And Development Center Inc | 8426012808 | 2 |
| Entity Name | Counseling & Development Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851327514 PECOS PAC ID: 8426012808 Enrollment ID: O20041116000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Evans, 101 E Maud St, Tavares, FL 32778-3249 Ph: (352) 253-9348 | Glenn Evans, 101 E Maud St, Tavares, FL 32778-3249 Ph: (352) 253-9348 |
Ryan E Godwin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 S Duncan Dr, Bldg C, Tavares, FL 32778 Phone: 352-742-6170 |
Sara Renee Aderholdt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1936 Salk Ave, Tavares, FL 32778 Phone: 352-363-5921 Fax: 352-589-5771 |
Janelle Carbone-rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2445 Lane Park Rd, Tavares, FL 32778 Phone: 866-280-9355 |
Rachel Golub, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 S Duncan Dr, Tavares, FL 32778 Phone: 352-357-1955 Fax: 352-240-1066 |
Bruce Chester Wlosinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1957 Magnolia Cir, Tavares, FL 32778 Phone: 323-523-1302 |
Mr. Joseph Ryan Caggiano, M.S., MSW,LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 819 W Main St Ste A, Tavares, FL 32778 Phone: 321-800-8439 |
Sherry Thornton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Maud St, Tavares, FL 32778 Phone: 352-253-9348 Fax: 352-253-9351 |