| Katherine Planchard, LCSW | |
|
9400 4th St N Ste 200, St Petersburg, FL 33702-2501 | |
| (717) 608-0329 | |
| Not Available |
| Full Name | Katherine Planchard |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9400 4th St N Ste 200, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992259279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9965 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW14796 (Florida) | Primary |
| Entity Name | Emerald Clover, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972218055 PECOS PAC ID: 5496290033 Enrollment ID: O20240708003623 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Planchard, LCSW 5980 115th Cir N, Pinellas Park, FL 33782-2122 Ph: (508) 212-6095 | Katherine Planchard, LCSW 9400 4th St N Ste 200, St Petersburg, FL 33702-2501 Ph: (717) 608-0329 |
Kristina Alison Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2931 1st Ave S, St Petersburg, FL 33712 Phone: 727-519-6733 | |
Nancy Rae Russell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6737 1st Ave S, St Petersburg, FL 33707 Phone: 727-341-1000 Fax: 727-341-1000 | |
William Jason Vejcik, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 855 Central Ave Unit 1114, St Petersburg, FL 33701 Phone: 313-400-7875 | |
Jomon John Thekkethottiyil, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4024 Central Ave, St Petersburg, FL 33711 Phone: 727-327-7656 | |
Melissa Davidson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702 Phone: 786-246-2732 | |
Valerie Homidas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702 Phone: 407-605-0720 | |
Erin St John, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1001 16th St S, St Petersburg, FL 33705 Phone: 727-327-7656 Fax: 727-322-2130 |