| Justin Forrest Dement, LCSW | |
|
4925 Atlantic Vw, Saint Augustine, FL 32080-7139 | |
| (662) 315-8357 | |
| Not Available |
| Full Name | Justin Forrest Dement |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 4925 Atlantic Vw, Saint Augustine, 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 |
|---|---|---|---|
| 1285149823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW14624 (Florida) | Primary |
| Entity Name | Refresh Canopy Cove, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354 |
| Entity Name | A Safe Port Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982380648 PECOS PAC ID: 9234580853 Enrollment ID: O20240109000239 |
| Entity Name | Optum Behavioral Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033984448 PECOS PAC ID: 5092120030 Enrollment ID: O20240401000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Forrest Dement, LCSW 1301 Plantation Island Dr S Ste 202a, Saint Augustine, FL 32080-3111 Ph: (662) 315-8357 | Justin Forrest Dement, LCSW 4925 Atlantic Vw, Saint Augustine, FL 32080-7139 Ph: (662) 315-8357 |
Allyson Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 59 Narvarez Ave, Saint Augustine, FL 32084 Phone: 904-614-1045 | |
Bethany Kleinhans, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 Plantation Island Dr S Ste 206a, Saint Augustine, FL 32080 Phone: 904-420-0580 | |
Mrs. Joan Tibaldi, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 Copperhead Cir, Saint Augustine, FL 32092 Phone: 904-679-4321 | |
Mr. Taylor Craig Johnston Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 S Dixie Hwy, Saint Augustine, FL 32084 Phone: 904-201-9894 | |
Cheryl Anne Ubelhor Kotyuk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Long Branch Way, Saint Augustine, FL 32086 Phone: 765-491-8142 | |
Jill M Meehan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Southpark Blvd Ste 202, Saint Augustine, FL 32086 Phone: 904-540-0999 | |
Lisa Marie Harvey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1880 San Sebastian Vw, Saint Augustine, FL 32084 Phone: 386-383-1934 |