| Jacqueline Lizarazo, LCSW | |
| 
					37840 Medical Arts Ct, Zephyrhills, FL 33541-4325  | |
| (352) 518-2000 | |
| Not Available | 
| Full Name | Jacqueline Lizarazo | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 37840 Medical Arts Ct, Zephyrhills, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154175685 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW22893 (Florida) | Primary | 
| Entity Name | Premier Community Health Care Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841263399 PECOS PAC ID: 3476450818 Enrollment ID: O20031215000701  | 
| 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 | 
|---|---|
| Jacqueline Lizarazo, LCSW Po Box 232, Dade City, FL 33526-0232 Ph: (352) 518-2000  | Jacqueline Lizarazo, LCSW 37840 Medical Arts Ct, Zephyrhills, FL 33541-4325 Ph: (352) 518-2000  | 
Jakayla Miller,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4034 Gall Blvd, Zephyrhills, FL 33542 Phone: 407-495-0445  | |
Janice R Stenson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Counselor Dr Unit 303, Zephyrhills, FL 33541 Phone: 216-926-1961  | |
Jessica Marie Hinchman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38644 Granger Ln, Zephyrhills, FL 33542 Phone: 813-469-9371  | |
Teri Leigh Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39031 County Road 54 Bldg 2, Zephyrhills, FL 33542 Phone: 813-713-9402  | |
Brenda Lopez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38044 Daughtery Rd, Zephyrhills, FL 33540 Phone: 813-713-6499 Fax: 877-544-7007  | |
Denise Lee, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 37840 Medical Arts Ct, Zephyrhills, FL 33541 Phone: 352-518-2000  |