| Jaqueline Rose Vallina, LCSW | |
|
10223 Count Fleet Dr, Ruskin, FL 33573-6774 | |
| (954) 793-5986 | |
| Not Available |
| Full Name | Jaqueline Rose Vallina |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10223 Count Fleet Dr, Ruskin, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225651540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MSW008678 (Georgia) | Primary |
| 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: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaqueline Rose Vallina, LCSW 10223 Count Fleet Dr, Ruskin, FL 33573-6774 Ph: (954) 793-5986 | Jaqueline Rose Vallina, LCSW 10223 Count Fleet Dr, Ruskin, FL 33573-6774 Ph: (954) 793-5986 |
Ada L Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1509 Alhambra Crest Dr, Ruskin, FL 33570 Phone: 813-416-6584 | |
Tami Robinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2258 Golden Falcon Dr, Ruskin, FL 33570 Phone: 813-766-9313 | |
Alexis Iona Haynes, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 507 15th Ave Nw, Ruskin, FL 33570 Phone: 301-356-3382 | |
Mr. Herbert Taylor Tisdale Iii, SOCIAL WORKER Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2814 14th Ave Se, Ruskin, FL 33570 Phone: 813-653-6100 | |
Ariel Nicole Bracey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1612 Dogwood Flower Ln Apt 102, Ruskin, FL 33573 Phone: 813-812-9568 | |
Mrs. Claudia Jane Dodrill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2407 Pier Dr, Ruskin, FL 33570 Phone: 813-641-0949 |