Madisen Fuller, LCSW | |
418 Sw 47th Ter, Cape Coral, FL 33914-6506 | |
(239) 690-6906 | |
Not Available |
Full Name | Madisen Fuller |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 418 Sw 47th Ter, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093534901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW23805 (Florida) | Primary |
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
Mailing Address | Practice Location Address |
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Madisen Fuller, LCSW 16713 Demi Dr, Athens, AL 35613-6217 Ph: () - | Madisen Fuller, LCSW 418 Sw 47th Ter, Cape Coral, FL 33914-6506 Ph: (239) 690-6906 |
Ms. Katia Jasmin Robinson Lucero, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4206 Del Prado Blvd S, Cape Coral, FL 33904 Phone: 239-677-6664 Fax: 239-424-5271 | |
Adam Larivee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 944 Country Club Blvd Ste 208, Cape Coral, FL 33990 Phone: 239-273-0270 | |
Mrs. Natalie Dedes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3449 Cancun Ct, Cape Coral, FL 33909 Phone: 239-788-4788 | |
Keisha Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 626 Nw 16th Ter, Cape Coral, FL 33993 Phone: 239-333-6299 | |
Thomas Hofmann, LCSW CEAP CPP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-343-9180 Fax: 239-343-9188 | |
Ms. Jennifer Lynn Thompson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 33904 Phone: 239-223-2751 | |
Miss Nicole Madison Malmquist, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1749 Ne 10th Ter Ste 7, Cape Coral, FL 33909 Phone: 239-000-0000 |