| Mr Luis O Rivera-gonzalez, LCSW | |
|
4120 Us Highway 98 N, Lakeland, FL 33809-3854 | |
| (863) 687-1222 | |
| (863) 603-6546 |
| Full Name | Mr Luis O Rivera-gonzalez |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4120 Us Highway 98 N, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447375308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW12254 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | SW12254 (Florida) | Secondary |
| Entity Name | Lakeland Regional Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
| Entity Name | Panamerican Behavioral Health Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932511938 PECOS PAC ID: 5799225439 Enrollment ID: O20240910000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Luis O Rivera-gonzalez, LCSW 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 Ph: (863) 687-1100 | Mr Luis O Rivera-gonzalez, LCSW 4120 Us Highway 98 N, Lakeland, FL 33809-3854 Ph: (863) 687-1222 |
Mrs. Heather Lynn Prociuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 State Road 540a, Lakeland, FL 33813 Phone: 863-608-0583 | |
Idalis Montero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1010 E Rose St, Lakeland, FL 33801 Phone: 863-413-3126 | |
Erin Walley Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5245 N Socrum Loop Rd, Lakeland, FL 33809 Phone: 863-859-1446 | |
Laura Braswell, M.DIV LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2625 Hollingsworth Hill Ave, Lakeland, FL 33803 Phone: 863-660-5243 | |
Ms. Khalilah Garrett, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4541 Breccia Ln, Lakeland, FL 33811 Phone: 804-564-1308 | |
Michelle Means, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 Gilmore Ave, Lakeland, FL 33805 Phone: 863-519-0575 Fax: 863-582-9251 | |
Amanda Gillespie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 S Florida Ave, Lakeland, FL 33803 Phone: 813-290-8560 |