| Mckayla Elizabeth Proctor, LCSW | |
|
2518 Dumas Dr, Deltona, FL 32738-5115 | |
| (321) 318-6414 | |
| Not Available |
| Full Name | Mckayla Elizabeth Proctor |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2518 Dumas Dr, Deltona, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588482137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW23560 (Florida) | Primary |
| 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 |
|---|---|
| Mckayla Elizabeth Proctor, LCSW 2518 Dumas Dr, Deltona, FL 32738-5115 Ph: () - | Mckayla Elizabeth Proctor, LCSW 2518 Dumas Dr, Deltona, FL 32738-5115 Ph: (321) 318-6414 |
Matthew Mcnerney, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1067 Prescott Blvd, Deltona, FL 32738 Phone: 386-566-1847 | |
Margarita Aiken-averett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1602 Giffen Ave, Deltona, FL 32738 Phone: 917-683-4601 | |
Janae Ponder, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 780 Deltona Blvd Ste 102, Deltona, FL 32725 Phone: 386-400-3100 Fax: 386-968-3257 | |
Korresha Walker-hampton, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 Deltona Blvd Ste A, Deltona, FL 32725 Phone: 386-259-5413 Fax: 386-753-9265 | |
Madison Stahler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 Deltona Blvd, Deltona, FL 32725 Phone: 772-559-7607 | |
Jennifer Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 Deltona Blvd Ste A, Deltona, FL 32725 Phone: 386-259-5413 | |
Adam Cohen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 Kangley Ave, Deltona, FL 32738 Phone: 321-266-8603 |