| Mary F Larson, LCSW | |
|
2810 Whistler St, West Melbourne, FL 32904-7488 | |
| (321) 506-8524 | |
| Not Available |
| Full Name | Mary F Larson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2810 Whistler St, West Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932368420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW 8059 (Florida) | Primary |
| Entity Name | Blue Moon Senior Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205129186 PECOS PAC ID: 6103099759 Enrollment ID: O20111027000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary F Larson, LCSW 2810 Whistler St, West Melbourne, FL 32904-7488 Ph: (321) 506-8524 | Mary F Larson, LCSW 2810 Whistler St, West Melbourne, FL 32904-7488 Ph: (321) 506-8524 |
Giselle Dejean, LCSW AND LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 887 Gazebo Cir Apt 6106, West Melbourne, FL 32904 Phone: 407-431-0425 | |
Sara Christine Moallem-wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3103 Morton Way, West Melbourne, FL 32904 Phone: 321-626-5397 | |
Candace Candace L Soliz Soliz, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4673 Academic Ln, West Melbourne, FL 32904 Phone: 707-639-6088 | |
Alyssa Buchanan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 S Wickham Rd Ste 107, West Melbourne, FL 32904 Phone: 321-608-0604 | |
Mrs. Imelda Josephine Valdez-king, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1924 Dairy Rd, West Melbourne, FL 32904 Phone: 772-873-8811 | |
Jeanne M Simpson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1131 W New Haven Ave, West Melbourne, FL 32904 Phone: 321-434-1744 | |
Amy Galloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3330 Charon Ave, West Melbourne, FL 32904 Phone: 952-288-4974 |