| Mary Ann Whalen, LCSW | |
|
28017 Oceana Dr, Bonita Springs, FL 34135-8630 | |
| (707) 694-9524 | |
| Not Available |
| Full Name | Mary Ann Whalen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 28017 Oceana Dr, Bonita Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770675472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS20053 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW11450 (Florida) | Primary |
| Entity Name | Mary Ann Whalen Lcsw Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538721857 PECOS PAC ID: 0345576831 Enrollment ID: O20190722001012 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Whalen, LCSW 28017 Oceana Dr, Bonita Springs, FL 34135-8630 Ph: (707) 694-9524 | Mary Ann Whalen, LCSW 28017 Oceana Dr, Bonita Springs, FL 34135-8630 Ph: (707) 694-9524 |
Carly Pass, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25250 Divot Dr, Bonita Springs, FL 34135 Phone: 239-287-0199 | |
Penelope Marshall, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9220 Bonita Beach Rd, Ste 227, Bonita Springs, FL 34135 Phone: 239-293-0122 | |
Margaret Thomson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3451 Bonita Bay Blvd, Suite #209, Bonita Springs, FL 34134 Phone: 239-949-3199 | |
Lisa Rattner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28033 Tiger Barb Way, Bonita Springs, FL 34135 Phone: 804-539-9758 Fax: 214-425-9571 | |
Lauren Donovan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9200 Bonita Beach Rd Se Ste 109, Bonita Springs, FL 34135 Phone: 239-235-0524 | |
Kayla Cervoni, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10661 Airport-pulling Rd, Ste 14, Bonita Springs, FL 34109 Phone: 239-383-1400 | |
Mrs. Diana Milena Salazar, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3575 Bonita Beach Rd Ste 102, Bonita Springs, FL 34134 Phone: 239-954-7722 Fax: 239-443-4577 |