| Keisha Thornton, | |
|
501 4th Ave, Crestview, FL 32536-2539 | |
| (850) 689-7252 | |
| Not Available |
| Full Name | Keisha Thornton |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 501 4th Ave, Crestview, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972988764 | NPI | - | NPPES |
| 107639000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW16905 (Florida) | Primary |
| 1041S0200X | Social Worker - School | ISW8952 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| A And B Counseling Services Llc | 6103152269 | 73 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | A & B Counseling Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508327628 PECOS PAC ID: 6103152269 Enrollment ID: O20190726001094 |
| Mailing Address | Practice Location Address |
|---|---|
| Keisha Thornton, 1600 Sw Archer Rd, Box 100183, Gainesville, FL 32610 Ph: (352) 392-0140 | Keisha Thornton, 501 4th Ave, Crestview, FL 32536-2539 Ph: (850) 689-7252 |
Michelle Lou Milligan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 259 E Oakdale Ave, Crestview, FL 32539 Phone: 850-682-1234 |
Pamela Pierce, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6135 Brickhill Ct, Crestview, FL 32536 Phone: 208-914-8161 |
Lonelle Ordway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6137 Mockingbird Hill Ct, Crestview, FL 32539 Phone: 850-499-2999 |
Alicia Weaver, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4861 Leyland Ln, Crestview, FL 32536 Phone: 850-502-7603 |
Jessica R Myers, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 303 Lakeview Dr, Crestview, FL 32536 Phone: 850-368-3592 |
Thomas Desvarney Tucker Iv, CSWRI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 438 Alonzo Dr, Crestview, FL 32536 Phone: 850-461-6480 |
Carla Colley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3634 Ranch Dr, Crestview, FL 32539 Phone: 318-918-0243 |