| Mary N Coniglio, LCSW | |
|
204 13th St, Port St Joe, FL 32456-2144 | |
| (850) 340-3695 | |
| Not Available |
| Full Name | Mary N Coniglio |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 34 Years |
| Location | 204 13th St, Port St Joe, 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 |
|---|---|---|---|
| 1144272501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004120 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary N Coniglio, LCSW 2739 Julian St, Decatur, GA 30032-3408 Ph: (404) 372-3054 | Mary N Coniglio, LCSW 204 13th St, Port St Joe, FL 32456-2144 Ph: (850) 340-3695 |
Miss Janel Denise Zimmerman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Cecil G Costin Sr Blvd, Port St Joe, FL 32456 Phone: 850-229-1043 | |
Cathy Supon Connor, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 220 9th St, Port St Joe, FL 32456 Phone: 850-215-0025 | |
Dr. Barbara Ann Mcdermid, PHD, ARNP, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2475 Garrison Ave, Port St Joe, FL 32456 Phone: 850-227-1276 Fax: 850-227-1766 |