| Hershley Kalev Basile, | |
|
3893 Nw 67th Way, Lauderhill, FL 33319-7310 | |
| (954) 773-6998 | |
| Not Available |
| Full Name | Hershley Kalev Basile |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 3893 Nw 67th Way, Lauderhill, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205558632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW20154 (Florida) | Primary |
| Entity Name | Vitae Health Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013562024 PECOS PAC ID: 6204166762 Enrollment ID: O20190925003271 |
| Mailing Address | Practice Location Address |
|---|---|
| Hershley Kalev Basile, 303 E Wacker Dr Ste 2102, Chicago, IL 60601-5314 Ph: () - | Hershley Kalev Basile, 3893 Nw 67th Way, Lauderhill, FL 33319-7310 Ph: (954) 773-6998 |
Jessica Oladumiye, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6650 Landings Dr Apt 108, Lauderhill, FL 33319 Phone: 816-204-7632 | |
Nadette Noel, CLINICAL SOCIAL WORK Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5131 N University Dr, Lauderhill, FL 33351 Phone: 954-268-9503 | |
Camille Burke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3810 Inverrary Blvd Ste 404, Lauderhill, FL 33319 Phone: 754-551-1489 | |
Ms. Shantreirra Monroe, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7860 W Commercial Blvd Stee 200 #634, Lauderhill, FL 33351 Phone: 561-601-9738 | |
Thomas G. Beley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6800 W Commercial Blvd Ste 2, Lauderhill, FL 33319 Phone: 954-749-3444 | |
Corazan Aquino Ennis, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4100 Inverrary Dr, Lauderhill, FL 33319 Phone: 616-856-0636 |